Connecticut House Bill HB05237

Connecticut 2023 Regular Session

• Introduced: 1/12/23
• Refer: 1/12/23

Caption

An Act Concerning Health Insurance Coverage For Breast Reconstruction.

Impact

The bill's implementation would significantlly influence state health laws by ensuring that specific reconstructive procedures are classified as essential services. By eliminating out-of-pocket costs for nipple reconstruction and tattooing, the bill seeks to improve access to these procedures for patients, thereby enhancing recovery and self-image post-surgery. It reflects a broader trend of recognizing the importance of comprehensive healthcare coverage, particularly in areas affecting women's health and rights.

Summary

House Bill 05237 aims to enhance health insurance coverage for individuals who have undergone breast reconstruction surgery. The proposed legislation mandates that health insurance providers cover nipple reconstruction and nipple tattooing without imposing any out-of-pocket expenses for insured persons. This bill is particularly important for patients who have had medically necessary breast reconstructions, including those who have undergone prophylactic mastectomies intended to decrease the risk of breast cancer.

Contention

Although the bill is aimed at improving patient rights and healthcare access, there may be points of contention regarding the financial implications for insurers and potential resistance from some policyholders who argue that such mandates could increase overall premiums. Some stakeholders might contend that the requirement for insurers to cover these specific procedures could lead to disputes over what constitutes 'medically necessary' coverage, thus complicating claim approvals.