LCO No. 1847 1 of 3
General Assembly Raised Bill No. 5386
February Session, 2022
LCO No. 1847
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
(INS)
AN ACT CONCERNING HEALTH INSURANCE COVERAGE FOR
EPINEPHRINE CARTRIDGE INJECTORS.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
Section 1. (NEW) (Effective January 1, 2023) (a) Each individual health 1
insurance policy providing coverage of the type specified in 2
subdivisions (1), (2), (4), (11), (12) and (16) of section 38a-469 of the 3
general statutes delivered, issued for delivery, renewed, amended or 4
continued in this state on or after January 1, 2023, that includes coverage 5
for outpatient prescription drugs shall provide coverage for epinephrine 6
cartridge injectors, as defined in section 19a-909 of the general statutes. 7
(b) No policy described in subsection (a) of this section shall impose 8
a coinsurance, copayment, deductible or other out-of-pocket expense for 9
an epinephrine cartridge injector in an amount that is greater than 10
twenty-five dollars. The provisions of this subsection shall apply to a 11
high deductible health plan, as that term is used in subsection (f) of 12
section 38a-493 of the general statutes, to the maximum extent permitted 13
by federal law, except if such plan is used to establish a medical savings 14
account or an Archer MSA pursuant to Section 220 of the Internal 15 Raised Bill No. 5386
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Revenue Code of 1986, or any subsequent corresponding internal 16
revenue code of the United States, as amended from time to time, or a 17
health savings account pursuant to Section 223 of said Internal Revenue 18
Code, as amended from time to time. The provisions of this subsection 19
shall apply to such high deductible health plans to the maximum extent 20
that (1) is permitted by federal law, and (2) does not disqualify such 21
account for the deduction allowed under Section 220 or 223, of the 22
Internal Revenue Code of 1986, as applicable. 23
Sec. 2. (NEW) (Effective January 1, 2023) (a) Each group health 24
insurance policy providing coverage of the type specified in 25
subdivisions (1), (2), (4), (11), (12) and (16) of section 38a-469 of the 26
general statutes delivered, issued for delivery, renewed, amended or 27
continued in this state on or after January 1, 2023, that includes coverage 28
for outpatient prescription drugs shall provide coverage for epinephrine 29
cartridge injectors, as defined in section 19a-909 of the general statutes. 30
(b) No policy described in subsection (a) of this section shall impose 31
a coinsurance, copayment, deductible or other out-of-pocket expense for 32
an epinephrine cartridge injector in an amount that is greater than 33
twenty-five dollars. The provisions of this subsection shall apply to a 34
high deductible health plan, as that term is used in subsection (f) of 35
section 38a-520 of the general statutes, to the maximum extent permitted 36
by federal law, except if such plan is used to establish a medical savings 37
account or an Archer MSA pursuant to Section 220 of the Internal 38
Revenue Code of 1986, or any subsequent corresponding internal 39
revenue code of the United States, as amended from time to time, or a 40
health savings account pursuant to Section 223 of said Internal Revenue 41
Code, as amended from time to time. The provisions of this subsection 42
shall apply to such high deductible health plans to the maximum extent 43
that (1) is permitted by federal law, and (2) does not disqualify such 44
account for the deduction allowed under Section 220 or 223, of said the 45
Internal Revenue Code of 1986, as applicable. 46 Raised Bill No. 5386
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This act shall take effect as follows and shall amend the following
sections:
Section 1 January 1, 2023 New section
Sec. 2 January 1, 2023 New section
Statement of Purpose:
To place a cap on costs for epinephrine cartridge injectors.
[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except
that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not
underlined.]