OFFICE OF FISCAL ANALYSIS
Legislative Office Building, Room 5200
Hartford, CT 06106 (860) 240-0200
http://www.cga.ct.gov/ofa
SB-1045
AN ACT CONCERNING STEP THERAPY, ADVERSE
DETERMINATION AND UTILIZATION REVIEWS, AND HEALTH
INSURANCE COVERAGE FOR CHILDREN, STEPCHILDREN AND
OTHER DEPENDENT CHILDREN.
AMENDMENT
LCO No.: 8511
File Copy No.: 370
Senate Calendar No.: 237
Primary Analyst: AN 5/13/21
Contributing Analyst(s): (FN)
OFA Fiscal Note
See Fiscal Note Details
The amendment requires that a) any health plans provided by the
Office of the State Comptroller (OSC), not including those offered to
state employees or retirees, provide coverage to dependents until the
age of 26, b) any such plan generally comply with the step therapy
guidelines in the underlying bill and c) any such plan follow adverse
determination and utilization review policies under current law.
Requiring any plan offered by OSC after July 1, 2022 to comply with
existing adverse determination law may preclude future costs related to
the requirements established in the underlying bill.
The Partnership Plan, a self-insured plan offered to municipalities
and other nonstate public entities that covers, does not currently require
step therapy.
The amendment is not interpreted to require dental coverage for
dependents until age 26.
The preceding Fiscal Impact statement is prepared for the benefit of the members of the General Assembly, solely
for the purposes of information, summarization and explanation and does not represent the intent of the General
Assembly or either chamber thereof for any purpose. In general, fiscal impacts are based upon a variety of
informational sources, including the analyst’s professional knowledge. Whenever applicable, agency data is
consulted as part of the analysis, however final products do not necessarily reflect an assessment from any
specific department.