OFFICE OF FISCAL ANALYSIS
Legislative Office Building, Room 5200
Hartford, CT 06106 (860) 240-0200
http://www.cga.ct.gov/ofa
sSB-355
AN ACT ESTABLISHING THE 340B DRUG PRICING
NONDISCRIMINATION ACT.
AMENDMENT
LCO No.: 6174
File Copy No.: 354
Senate Calendar No.: 252
Primary Analyst: MP 5/2/22
Contributing Analyst(s): ()
OFA Fiscal Note
State Impact:
Agency Affected Fund-Effect FY 23 $ FY 24 $
Insurance Dept. IF - See Below Potential Potential
Note: IF=Insurance Fund
Municipal Impact: None
Explanation
The amendment strikes the underlying bill and its associated fiscal
impact, and results in the fiscal impact described below.
The amendment may result in a change in costs and an equally sized
change in revenue to the Insurance Department (DOI) associated with
the Health Benefit Review Program (HBRP). Unchanged by the
amendment, costs of the program are reimbursed by domestic carriers,
so there is no anticipated net fiscal impact to the state. Under the
amendment the General Assembly cannot enact new health insurance
benefit mandates unless the mandated benefit has been the subject of a
report under the HBRP and an informational hearing, or upon a two-
thirds vote of the Insurance and Real Estate Committee.
To the extent that the amendment's modifications to the mandate
process result in more or more frequent referrals to the HBRP, DOI will
incur more contract costs to analyze the mandate proposals. The most 2022SB-00355-R00LCO06174-FNA.DOCX Page 2 of 2
recent review was conducted in FY 15 at a cost of $536,029.
On a per-review basis, the amendment's provisions are likely to result
in savings compared to current law. Specifically, limits to the number
and type of mandates, changes to the criteria that must be evaluated,
and the potential for competitive bidding may result in contract cost
savings when reviews are conducted.
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.