Researcher: JKL Page 1 3/6/25
OLR Bill Analysis
sHB 6436
AN ACT CONCERNING REVISIONS TO THE HEALTH INSURANCE
STATUTES.
SUMMARY
This bill makes three unrelated changes to the insurance statutes.
First, it eliminates a requirement that the insurance commissioner
contract with the UConn Center for Public Health and Health Policy
(which no longer exists) to conduct reviews of mandated health benefits
upon request of the Insurance and Real Estate Committee. Instead, it
allows him to contract with any actuary, actuarial firm, quality
improvement clearinghouse, health policy research organization, or
other independent expert necessary to conduct the reviews. By law, the
reviews evaluate the social and financial impacts of the health benefits.
Next, the bill delays the annual due date for pharmacy benefit
managers (PBMs) to report prescription drug rebate information to the
insurance commissioner by one month, from February 1 to March 1. It
also delays the annual due date for the commissioner to report to the
Insurance and Real Estate Committee on the PBMs’ rebate reports, from
March 1 to April 1.
Lastly, the bill allows, rather than requires as under current law, the
insurance commissioner to adopt regulations to implement health
insurance requirements for medically necessary wheelchair repairs and
replacements. By law, an insurer cannot require a new prescription or
prior authorization for the medically necessary repair or replacement of
a complex rehabilitation technology wheelchair unless the original
prescription is more than five years old.
EFFECTIVE DATE: Upon passage, except for the health benefit
review program provision, which is effective October 1, 2025. 2025HB-06436-R000053-BA.DOCX
Researcher: JKL Page 2 3/6/25
COMMITTEE ACTION
Insurance and Real Estate Committee
Joint Favorable
Yea 12 Nay 1 (02/20/2025)