OFFICE OF FISCAL ANALYSIS
Legislative Office Building, Room 5200
Hartford, CT 06106 (860) 240-0200
http://www.cga.ct.gov/ofa
sHB-7213
AN ACT CONCERNING ACCESS TO REPRODUCTIVE HEALTH
CARE.
Primary Analyst: NN 4/14/25
Contributing Analyst(s): AB, NB, DD, LD, TM, ES, JS
Reviewer: RW
OFA Fiscal Note
State Impact:
Agency Affected Fund-Effect FY 26 $ FY 27 $
State Comptroller - Fringe
Benefits
App Fund -
Potential Cost
Minimal Minimal
Resources of the General Fund GF - Potential
Cost
Minimal Minimal
Social Services, Dept. GF - Potential
Cost
See Below See Below
Note: GF=General Fund; App Fund=All Appropriated Funds
Municipal Impact:
Municipalities Effect FY 26 $ FY 27 $
Various Municipalities Potential
Cost
Minimal Minimal
Explanation
The bill codifies the medical standard of care for services,
examination, or treatment related to pregnancy and pregnancy
prevention without the consent or notification of a minor’s parents or
guardian. This may result in a potential cost to the state and
municipalities to the extent utilization increases under the state
employee health plan (SEHP), state partnership plan (SPP), and fully
insured municipal plans.
Currently, minors, those under 18, may already consent to certain
medical treatments and services. The bill is expanding minors’ access to
contraceptives, prenatal care, and appropriate care and pain
management during labor and delivery without parental or guardian 2025HB-07213-R000688-FN.docx Page 2 of 2
consent.
To the extent that the bill’s requirements are determined to be a new
health benefit mandate and result in higher premiums, there may be a
minimal cost to the state associated with defrayal of additional premium
costs for enrollees purchasing health insurance on the state's exchange.
Under the Affordable Care Act, states are allowed to mandate benefits
beyond the essential health benefits but must pay for that excess
coverage. Defrayal costs for Covered Connecticut enrollees may be
incurred by the Department of Social Services (DSS), to the extent the
bill raises premiums for those enrollees.
The bill also removes financial responsibility for parents or guardians
who were not informed of the services incurred by the minor. It is not
clear at this time who would bear the liability. There is a potential cost
to the SEHP, SPP, and fully insured municipalities if the carrier must
cover all services with no cost sharing.
The bill additionally repeals certain regulations and requires
corresponding updates to the e-Regulations system which does not
result in a fiscal impact.
The Out Years
The annualized ongoing fiscal impact identified above would
continue into the future subject to premium rates and utilization.