Connecticut Senate Bill SB00813

Connecticut 2025 Regular Session

• Introduced: 1/21/25
• Refer: 1/21/25

Caption

An Act Limiting The Use Of Step Therapy For Patients With Disabling Or Life-threatening Chronic Diseases.

Impact

If enacted, SB00813 would amend sections 38a-510 and 38a-544 of the general statutes, which govern health insurance practices in the state. It is expected to enhance patient care by ensuring that individuals diagnosed with serious health issues are not forced to navigate burdensome medication trails imposed by insurance companies. By limiting step therapy, the bill would allow healthcare providers more discretion in prescribing treatments that they deem essential for the wellbeing of their patients, directly impacting healthcare delivery.

Summary

SB00813, introduced by Senator Looney, aims to impose limitations on the use of step therapy protocols for patients suffering from disabling or life-threatening chronic diseases. Step therapy, also known as 'fail first' protocols, typically requires patients to try and fail on one or more medications before a physician can prescribe the treatment they believe is best suited for the patient's needs. The intent of the bill is to protect patients' access to necessary medications without unnecessary delays or restrictions that could worsen their health conditions.

Contention

Discussions around SB00813 may generate diverse opinions among lawmakers, insurance providers, and healthcare professionals. Proponents argue that imposing restrictions on step therapy is a critical step toward improving patient autonomy and access to necessary treatments without undue barriers. Conversely, opponents may raise concerns regarding potential increases in healthcare costs or the implications for insurance providers and the broader healthcare system. Balancing the interests of patients and insurers will likely be a significant point of contention as the bill moves through the legislative process.