OFFICE OF FISCAL ANALYSIS
Legislative Office Building, Room 5200
Hartford, CT 06106 (860) 240-0200
http://www.cga.ct.gov/ofa
SB-364
AN ACT CONCERNING HEALTH INSURANCE.
As Amended by Senate "A" (LCO 5566)
House Calendar No.: 554
Senate Calendar No.: 234
Primary Analyst: MP 5/3/22
Contributing Analyst(s): RJW
OFA Fiscal Note
State Impact: None
Municipal Impact:
Municipalities Effect FY 23 $ FY 24 $
Various Municipalities STATE
MANDATE
1
-
Cost
See Below See Below
Explanation
The bill prohibits the use of step therapy for treatment of additional
conditions and diseases, which does not result in a fiscal impact to the
state employee and retiree health plan or municipalities that participate
in the Partnership Plan, as step therapy is not required by the plans.
The bill results in a cost for certain fully insured municipal plans that
currently require step therapy for conditions specified in the bill, to the
extent it results in higher prescription drug costs that are passed on in
the form of higher premiums. Costs to fully insured municipalities will
be reflected in premiums for plan years beginning on or after January 1,
2023.
1
State mandate is defined in Sec. 2-32b(2) of the Connecticut General Statutes, "state
mandate" means any state initiated constitutional, statutory or executive action that
requires a local government to establish, expand or modify its activities in such a way
as to necessitate additional expenditures from local revenues. 2022SB-00364-R01-FN.DOCX Page 2 of 2
Senate "A" strikes the underlying bill and its associated fiscal impact,
thus replacing the bill and resulting in the fiscal impact described above.
The Out Years
The fiscal impact in the out years will vary based on the actual
increases to premiums.
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.