Connecticut Senate Bill SB00438

Connecticut 2023 Regular Session

• Introduced: 1/18/23
• Refer: 1/18/23

Caption

An Act Requiring Health Insurance Coverage For Certain Surgical Procedures Performed To Treat Severe Obesity.

Impact

The enactment of SB00438 would significantly affect state health laws by mandating insurance coverage for surgical treatments related to obesity, which have previously been unevenly covered across different policies. This could lead to increased access to necessary treatments for many individuals struggling with severe obesity, thereby promoting public health and potentially reducing healthcare costs in the long run due to fewer obesity-related health complications. Insurers may need to adapt their policies and practices to align with this new requirement, impacting their coverage models and premium pricing strategies.

Summary

SB00438 proposes amendments to chapter 700c of the general statutes to require individual and group health insurance policies to cover specific surgical procedures aimed at treating severe obesity. This includes well-known procedures such as gastric bypass surgery, sleeve gastrectomy, and duodenal switch surgery. The bill seeks to address a significant health concern by ensuring that individuals suffering from severe obesity have access to effective medical treatments without prohibitive costs. By mandating coverage, the legislation encourages healthier lifestyles and potentially reduces the long-term health complications associated with severe obesity.

Contention

The primary points of contention surrounding SB00438 revolve around the implications of mandating insurance coverage for specific medical procedures. Supporters argue that it is a necessary step to improve health outcomes for those affected by obesity, while opponents may raise concerns about the financial impact on insurance companies and the potential rise in premiums for all insured individuals. Additionally, some critics argue about the appropriateness of government intervention in healthcare decisions, questioning whether certain surgical procedures should be covered universally by insurance providers.