SB 317 — AN ACT REQUIRING HEALTH INSURANCE COVERAGE FOR CERTAIN SURGICAL PROCEDURES PERFORMED TO TREAT SEVERE OBESITY.

General Assembly CommitteeSubstitute Bill No.

317 January Session, 2019 LCOAN No.ACT REQUIRING HEALTH INSURANCE COVERAGE FOR CERTAIN SURGICAL PROCEDURES PERFORMED TO TREAT SEVERE OBESITY.

5663 Referred to Committee on INSURANCE AND REAL ESTATE Introduced by:

(INS) AN ACT REQUIRING HEALTH INSURANCE COVERAGE FOR CERTAIN SURGICAL PROCEDURES PERFORMED TO TREAT SEVERE OBESITY.

(A) Greater than fortyforty; kilograms per meter squared;

or (B) NotThirty-five lessor thanmore thirty-five kilograms per meter squared if an individual has been diagnosed with a comorbid disease or condition, including, but not limited to, a cardiopulmonary condition, diabetes, hypertension or sleep apnea.

(b) Each individual health insurance policy providing coverage of LCOthe No.type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 of the general statutes delivered, issued for delivery, renewed, amended or continued in this state on or after January 1, 2020, shall provide coverage for each surgical procedure that is:

5663(1) 1Performed ofto 3treat Committeesevere Billobesity, No.317including, thebut typenot specifiedlimited into, subdivisionsLCO (1),\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00317-R01 (2), (4), (11) and (12) of section3 38a-469SB.docx ofSubstitute theBill generalNo. statutes delivered, issued for delivery, renewed, amended or continued in this state on or after January 1, 2020, shall provide coverage for each surgical procedure that is:

(1)317 Performed to treat severe obesity, including, but not limited to, gastric bypass, sleeve gastrectomy and duodenal switch;

(A) Greater than fortyforty; kilograms per meter squared;

or (B) NotThirty-five lessor thanmore thirty-five kilograms per meter squared if an individual has been diagnosed with a comorbid disease or condition, including, but not limited to, a cardiopulmonary condition, diabetes, hypertension or sleep apnea.

(b) Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a- 469 of the general statutes delivered, issued for delivery, renewed, LCOamended No.or continued in this state on or after January 1, 2020, shall provide coverage for each surgical procedure that is:

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317 amended or continued in this state on or after January 1, 2020, shall provide coverage for each surgical procedure that is:

(2) Recognized by the National Institutes of Health, American SocietyLCO for{\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00312 Metabolic and Bariatric Surgery and American College of Surgeons3 asR02-SB.docx providing} long-termSubstitute weightBill loss;No.

317 Society for Metabolic and Bariatric Surgery and American College of Surgeons as providing long-term weight loss;

2 January 1, 2020 New section Statement of Purpose:Legislative Commissioners:

ToIn requireSection health1(a)(2)(A) insuranceand coverageSection for2(a)(2)(A), certain"kilograms surgicalper proceduresmeter performedsquared" towas treatdeleted severeto obesity.avoid repetition;

[Proposedand deletionsSection are1(a)(2)(B) enclosedand inSection brackets.2(a)(2)(B) were rewritten for clarity.

ProposedINS additionsJoint areFavorable indicatedSubst. by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.] Co-Sponsors:

SEN.-LCO LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00317- 3 of 3 R02-SB.docx }

BERTHEL, 32nd Dist.

S.B.

317 LCO No.

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