Connecticut 2020 Regular Session Status: In Committee 15 D cosponsors

SB 1 — AN ACT CONCERNING DIABETES AND HIGH DEDUCTIBLE HEALTH PLANS.

Last action — FILED WITH LCO

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 2020 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there are no live odds of enactment. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

630 added · 28 removed

630 line(s) added, 28 removed.

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General Assembly Proposed Bill No.
General Assembly Committee Bill No.
652 Referred to Committee on INSURANCE AND REAL ESTATE Introduced by:
1552 Referred to Committee on INSURANCE AND REAL ESTATE Introduced by:
(INS) AN ACT CONCERNING DIABETES AND HIGH DEDUCTIBLE HEALTH PLANS.
Be it enacted by the Senate and House of Representatives in General Assembly convened:
Section 1.
Section 38a-492d of the general statutes is repealed and the following is substituted in lieu thereof (Effective January 1, 2021):
(a) For the purposes of this section:
(1) "Diabetes equipment and supplies" means equipment and supplies that are used to treat diabetes, including, but not limited to, blood glucose test strips, glucometers, lancets, lancing devices and insulin syringes;
(2) "High deductible health plan" has the same meaning as that term is used in subsection (f) of section 38a-493, as amended by this act;
(3) "Insulin drug" means a drug that contains insulin and is approved by the federal Food and Drug Administration to treat diabetes, including, but not limited to, insulin pens;
(4) "Noninsulin drug" means a drug that does not contain insulin and LCO No.
1552 1 of 20 Committee Bill No.1 is approved by the federal Food and Drug Administration to treat diabetes, including, but not limited to, glucagen, glucose tablets and glucose gels;
and (5) "Prescribing practitioner" has the same meaning as provided in section 20-571.
[(a) Each] (b) Notwithstanding the provisions of section 38a-492a, each individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, [or] renewed, amended or continued in this state shall provide coverage for [laboratory] the treatment of all types of diabetes.
Such coverage shall include, but need not be limited to, coverage for medically necessary:
(1)Laboratory anddiagnostic[tests]testing andscreening,including, but not limited to, hemoglobin A1c testing and retinopathy screening, for all types of diabetes;
(2) Insulin drugs (A) prescribed by a prescribing practitioner, or (B) dispensed pursuant to subsection (b) of section 3 of this act not more than three times during a policy year;
(3) Noninsulin drugs prescribed by a prescribing practitioner;
and (4)Diabetesequipment and suppliesin accordance with theinsured's diabetes treatment plan.
[(b) Notwithstanding the provisions of section 38a-492a, each individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery or renewed in this state shall provide medically necessary coverage for the treatment of insulin-dependent diabetes, insulin-using diabetes, gestational diabetes and non-insulin- using diabetes.
Such coverage shall include medically necessary equipment, in accordance with the insured person's treatment plan, drugs and supplies prescribed by a prescribing practitioner, as defined LCO No.
1552 2 of 20 Committee Bill No.1 in section 20-571.] (c) (1) Notwithstanding the provisions of section 38a-492a and except as provided in subdivision (2) of this subsection, no policy described in subsection (b) of this section shall impose coinsurance, copayments, deductiblesandother out-of-pocket expensesonaninsuredthat exceed:
(A) Fifty dollars for each thirty-day supply of a medically necessary covered insulin drug prescribed to the insured by a prescribing practitioner;
(B) Fifty dollars for each thirty-day supply of a medically necessary covered noninsulin drug prescribed to the insured by a prescribing practitioner;
or (C) One hundred dollars for a thirty-day supply of all medically necessary covered diabetes equipment and supplies for such insured that are in accordance with such insured's diabetes treatment plan.
(2)The combinedmonthly coinsurance, copayments, deductiblesand other out-of-pocket expenses for all medically necessary covered insulin drugs prescribed to an insured by a prescribing practitioner and all medically necessary covered diabetes equipment and supplies for the insured shall not exceed one hundred dollars, provided such diabetes equipment and supplies are in accordance with such insured's diabetes treatment plan.
(d) The provisions of subsection (c) of this section shall apply to a highdeductible health plantothemaximumextentpermittedby federal law, except if such plan is used to establish a medical savings account or an Archer MSA pursuant to Section 220 of the Internal Revenue Code of 1986, or any subsequent corresponding internal revenue code of the UnitedStates,asamendedfromtimetotime,orahealthsavingsaccount pursuant to Section 223 of said Internal Revenue Code, as amended from time to time, the provisions of said subsection (c) shall apply to such plan to the maximum extent that (1) is permitted by federal law, LCO No.
1552 3 of 20 Committee Bill No.1 and (2) does not disqualify such account for the deduction allowed under said Section 220 or 223, as applicable.
Sec.
2.
Section 38a-518d of the general statutes is repealed and the following is substituted in lieu thereof (Effective January 1, 2021):
(a) For the purposes of this section:
(1) "Diabetes equipment and supplies" means equipment and supplies that are used to treat diabetes, including, but not limited to, blood glucose test strips, glucometers, lancets, lancing devices and insulin syringes;
(2) "High deductible health plan" has the same meaning as that term is used in subsection (f) of section 38a-520, as amended by this act;
(3) "Insulin drug" means a drug that contains insulin and is approved by the federal Food and Drug Administration to treat diabetes, including, but not limited to, insulin pens;
(4) "Noninsulin drug" means a drug that does not contain insulin and is approved by the federal Food and Drug Administration to treat diabetes, including, but not limited to, glucagen, glucose tablets and glucose gels;
and (5) "Prescribing practitioner" has the same meaning as provided in section 20-571.
[(a) Each] (b) Notwithstanding the provisions of section 38a-518a, each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, [or] renewed, amended or continued in this state shall provide coverage for [laboratory] the treatment of all types of diabetes.
Such coverage shall include, but need not be limited to, coverage for medically necessary:
(1)Laboratory anddiagnostic[tests]testing andscreening,including, LCO No.
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1552 4 of 20 Committee Bill No.1 but not limited to, hemoglobin A1c testing and retinopathy screening, for all types of diabetes;
(2) Insulin drugs (A) prescribed by a prescribing practitioner, or (B) dispensed pursuant to subsection (b) of section 3 of this act not more than three times during a policy year;
(3) Noninsulin drugs prescribed by a prescribing practitioner;
and (4) Diabetes equipment and supplies, provided such diabetes equipment and supplies are in accordance with the insured's diabetes treatment plan.
[(b) Notwithstanding the provisions of section 38a-518a, each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery or renewed in this state shall provide medically necessary coverage for the treatment of insulin-dependent diabetes, insulin-using diabetes, gestational diabetes and non-insulin-using diabetes.
Such coverage shall include medically necessary equipment, in accordance with the insured person's treatment plan, drugs and supplies prescribed by a prescribing practitioner, as defined in section 20-571.] (c) (1) Notwithstanding the provisions of section 38a-518a and except as provided in subdivision (2) of this subsection, no policy described in subsection (b) of this section shall impose coinsurance, copayments, deductiblesandother out-of-pocket expensesonan insuredthat exceed:
(A) Fifty dollars for each thirty-day supply of a medically necessary covered insulin drug prescribed to the insured by a prescribing practitioner;
(B) Fifty dollars for each thirty-day supply of a medically necessary covered noninsulin drug prescribed to the insured by a prescribing practitioner;
or LCO No.
1552 5 of 20 Committee Bill No.1 (C) One hundred dollars for a thirty-day supply of all medically necessary covered diabetes equipment and supplies for such insured that are in accordance with such insured's diabetes treatment plan.
(2)The combinedmonthly coinsurance, copayments, deductiblesand other out-of-pocket expenses for all medically necessary covered insulin drugs prescribed to an insured by a prescribing practitioner and all medically necessary covered diabetes equipment and supplies for the insured shall not exceed one hundred dollars, provided such diabetes equipment and supplies are in accordance with such insured's diabetes treatment plan.
(d) The provisions of subsection (c) of this section shall apply to a highdeductible health plantothemaximumextentpermittedby federal law, except if such plan is used to establish a medical savings account or an Archer MSA pursuant to Section 220 of the Internal Revenue Code of 1986, or any subsequent corresponding internal revenue code of the UnitedStates,asamendedfromtimetotime,orahealthsavingsaccount pursuant to Section 223 of said Internal Revenue Code, as amended from time to time, the provisions of said subsection (c) shall apply to such plan to the maximum extent that (1) is permitted by federal law, and (2) does not disqualify such account for the deduction allowed under said Section 220 or 223, as applicable.
Sec.
3.
(NEW) (Effective from passage) (a) For the purposes of this section:
(1) "Diabetes equipment and supplies" has the same meaning as provided in sections 38a-492d and 38a-518d of the general statutes, as amended by this act;
(2) "Insulin drug" has the same meaning as provided in sections 38a- 492d and 38a-518d of the general statutes, as amended by this act;
and (3) "Pharmacist" means a pharmacist licensed under chapter 400j of the general statutes.
LCO No.
1552 6 of 20 Committee Bill No.1 (b) Notwithstanding any provision of the general statutes, a pharmacist shall immediately dispense a prescription insulin drug or prescription diabetes equipment and supplies to an individual in this state who does not have a valid prescription for such insulin drug or diabetes equipment and supplies if the pharmacist determines, in such pharmacist's professional judgment, that such individual would suffer immediate physical harm if such pharmacist did not immediately dispense such insulin drug or diabetes equipment and supplies to such individual.
Such pharmacist shall dispense to such individual the minimum amount of such insulin drug or diabetes equipment and supplies necessary to ensure that such individual does not suffer immediate physical harm because such individual does not possess such insulin drug or diabetes equipment and supplies.
(c) Not later than January 1, 2021, the Commissioner of Consumer Protection shall send a notice, in a form and manner determined by the commissioner, to each pharmacist disclosing the requirements of subsection (b) of this section.
(d) The Commissioner of Consumer Protection may adopt regulations, in accordance with the provisions of chapter 54 of the general statutes, to implement the provisions of this section.
Sec.
4.
(Effective from passage) (a) The Commissioner of Social Services shallconductastudyregardingthefeasibilityofexpandingtheprogram established under section 17b-363a of the general statutes to include a fund for the purpose ofassisting low-income diabetic individuals in this state to pay for insulin and equipment and supplies used to treat diabetes.
(b) Not later than January 1, 2021, the commissioner shall submit a report, in accordance with section 11-4a of the general statutes, to the joint standing committees of the General Assembly having cognizance of matters relating to appropriations and insurance disclosing the results of the study conducted by the commissioner pursuant to subsection (a) of this section.
LCO No.
1552 7 of 20 Committee Bill No.1 Sec.
5.
Subsection (f) of section 38a-493 of the general statutes is repealed andthefollowing issubstituted inlieuthereof(EffectiveOctober 1, 2020):
(f) Home health care benefits may be subject to an annual deductible of not more than fifty dollars for each person covered under a policy and may be subject to a coinsurance provision that provides for coverage of not less than seventy-five per cent of the reasonable charges for such services.
Such policy may also contain reasonable limitations and exclusions applicable to home health care coverage.
A high deductible health plan, as defined in Section 220(c)(2) or Section 223(c)(2) of the Internal Revenue Code of 1986, or any subsequent corresponding internal revenue code of the United States, as amended from time to time, used to establish a medical savings account or an Archer MSA pursuant to Section 220 of said Internal Revenue Code or a health savings account pursuant to Section 223 of said Internal Revenue Code shall not be subject to the deductible limits set forth in this subsection.
Sec.
6.
Subsection (b) of section 38a-490a of the general statutes is repealed andthefollowing issubstituted inlieuthereof(EffectiveOctober 1, 2020):
(b)Nosuchpolicy shallimposeacoinsurance, copayment,deductible or other out-of-pocket expense for such services, except that a high deductible health plan, as that term is used in subsection (f) of section 38a-493, as amended by this act, shall not be subject to the deductible limits set forth in this section.
Sec.
7.
Subdivision (2) of subsection (b) of section 38a-492k of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2020):
(2) A coinsurance, copayment, deductible or other out-of-pocket expense for any additional colonoscopy ordered in a policy year by a physician for an insured.
The provisions of this subdivision shall not LCO No.
1552 8 of 20 Committee Bill No.1 apply to a high deductible health plan as that term is used in subsection (f) of section 38a-493, as amended by this act.
Sec.
8.
Subsection (b) of section 38a-492o of the general statutes is repealed andthefollowing issubstituted inlieuthereof(EffectiveOctober 1, 2020):
(b)Nosuchpolicy shallimposeacoinsurance, copayment,deductible or other out-of-pocket expense for such testing in excess of twenty per cent of the cost for such testing per year.
The provisions of this subsection shall not apply to a high deductible health plan as that term is used in subsection (f) of section 38a-493, as amended by this act.
Sec.
9.
Subsection (b) of section 38a-492r of the general statutes is repealed andthefollowing issubstituted inlieuthereof(EffectiveOctober 1, 2020):
(b) No policy described in subsection (a) of this section shall impose acoinsurance, copayment,deductibleorotherout-of-pocketexpensefor the benefits and services required under said subsection.
The provisions of this subsection shall apply to a high deductible health plan, as that term is used in subsection (f) of section 38a-493, as amended by this act, to the maximum extent permitted by federal law, except if such plan is used to establish a medical savings account or an Archer MSA pursuant to Section 220 of the Internal Revenue Code of 1986, or any subsequent corresponding internal revenue code of the United States, as amended from time to time, or a health savings account [, as that term is used in] pursuant to Section 223 of [the] said Internal Revenue Code, [of 1986 or any subsequent corresponding internal revenue code of the United States,] as amended from time to time, the provisions of this subsection shall apply to such plan to the maximum extent that (1) is permitted by federal law, and (2) does not disqualify such account for the deduction allowed under said Section 220 or 223, as applicable.
Nothing in this section shall preclude a policy that provides the coverage required under subsection (a) of this section and uses a provider network from imposing cost-sharing requirements for any benefit or service required LCO No.
1552 9 of 20 Committee Bill No.1 under said subsection (a) that is delivered by an out-of-network provider.
Sec.
10.
Subsection (b) of section 38a-492s of the general statutes is repealed andthefollowing issubstituted inlieuthereof(EffectiveOctober 1, 2020):
(b)Nosuchpolicy shallimposeacoinsurance, copayment,deductible or other out-of-pocket expense for the benefits and services required under subsection (a) of this section.
The provisions of this subsection shall apply to a high deductible health plan, as that term is used in subsection (f) of section 38a-493, as amended by this act, to the maximum extent permitted by federal law, except if such plan is used to establish a medical savings account or an Archer MSA pursuant to Section 220 of the Internal Revenue Code of 1986, or any subsequent corresponding internal revenue code of the United States, as amended from time to time, or a health savings account [, as that term is used in] pursuant to Section 223 of [the] said Internal Revenue Code, [of 1986 or any subsequent corresponding internal revenue code of the United States,] as amended from time to time, the provisions of this subsection shall apply to such plan to the maximum extent that (1) is permitted by federal law, and (2) does not disqualify such account for the deduction allowed under said Section 220 or 223, as applicable.
Nothing in this section shall preclude a policy that provides the coverage required under subsection (a) of this section and uses a provider network from imposing cost-sharing requirements for any benefit or service required under said subsection (a) that is delivered by an out-of-network provider.
Sec.
11.
Subdivision (3) of subsection (b) of section 38a-492t of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2020):
(3)No suchpolicy shall impose acoinsurance, copayment, deductible or other out-of-pocket expense for a prosthetic device that is more restrictivethanthatimposedonsubstantially allotherbenefitsprovided LCO No.
1552 10 of 20 Committee Bill No.1 undersuchpolicy,exceptthatahighdeductible healthplan,asthatterm is used in subsection (f) of section 38a-493, as amended by this act, shall not be subject to the deductible limits set forth in this subdivision or under Medicare pursuant to subdivision (1) of this subsection.
Sec.
12.
Subsection (c) of section 38a-503 of the 2020 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2020):
(c)Benefits under thissectionshallbesubject to any policy provisions that apply to other services covered by such policy, except that no such policy shall impose a coinsurance, copayment, deductible or other out- of-pocket expense for such benefits.
The provisions of this subsection shall apply to a high deductible health plan, as that term is used in subsection (f) of section 38a-493, as amended by this act, to the maximum extent permitted by federal law, except if such plan is used to establish a medical savings account or an Archer MSA pursuant to Section 220 of the Internal Revenue Code of 1986 or any subsequent corresponding internal revenue code of the United States, as amended from time to time, or a health savings account pursuant to Section 223 of said Internal Revenue Code, as amended from time to time, the provisions of this subsection shall apply to such plan to the maximum extent that (1) is permitted by federal law, and (2) does not disqualify such account for the deduction allowed under said Section 220 or 223, as applicable.
Sec.
13.
Subsection (b) of section 38a-503e of the general statutes is repealed andthefollowing issubstituted inlieuthereof(EffectiveOctober 1, 2020):
(b) No policy described in subsection (a) of this section shall impose acoinsurance, copayment,deductibleorotherout-of-pocketexpensefor the benefits and services required under said subsection (a), except that any such policy that uses a provider network may require cost-sharing when such benefits and services are rendered by an out-of-network provider.
The cost-sharing limits imposed under this subsection shall LCO No.
1552 11 of 20 Committee Bill No.1 apply to a high deductible health plan, as that term is used in subsection (f) of section 38a-493, as amended by this act, to the maximum extent permitted by federal law, except if such plan is used to establish a medical savings account or an Archer MSA pursuant to Section 220 of the Internal Revenue Code of 1986 or any subsequent corresponding internal revenue code of the United States, as amended from time to time, or a health savings account [, as that term is used in] pursuant to Section 223 of [the] said Internal Revenue Code, [of 1986 or any subsequent corresponding internal revenue code of the United States,] as amended from time to time, the provisions of this subsection shall apply to such plan to the maximum extent that (1) is permitted by federal law, and (2) does not disqualify such account for the deduction allowed under said Section 220 or 223, as applicable.
Sec.
14.
Subsection (b) of section 38a-503f of the general statutes is repealed andthefollowing issubstituted inlieuthereof(EffectiveOctober 1, 2020):
(b) No policy described in subsection (a) of this section shall impose acoinsurance, copayment,deductibleorotherout-of-pocketexpensefor the benefits and services required under said subsection.
The provisions of this subsection shall apply to a high deductible health plan, as that term is used in subsection (f) of section 38a-493, as amended by this act, to the maximum extent permitted by federal law, except if such plan is used to establish a medical savings account or an Archer MSA pursuant to Section 220 of the Internal Revenue Code of 1986 or any subsequent corresponding internal revenue code of the United States, as amended from time to time, or a health savings account [, as that term is used in] pursuant to Section 223 of [the] said Internal Revenue Code, [of 1986 or any subsequent corresponding internal revenue code of the United States,] as amended from time to time, the provisions of this subsection shall apply to such plan to the maximum extent that (1) is permitted by federal law, and (2) does not disqualify such account for the deduction allowed under said Section 220 or 223, as applicable.
Nothing in this section shall preclude a policy that provides the coverage required LCO No.
1552 12 of 20 Committee Bill No.1 under subsection (a) of this section and uses a provider network from imposing cost-sharing requirements for any benefit or service required under said subsection (a) that is delivered by an out-of-network provider.
Sec.
15.
Subsection (c) of section 38a-511 of the general statutes is repealed andthefollowing issubstitutedinlieuthereof(EffectiveOctober 1, 2020):
(c) The provisions of subsections (a) and (b) of this section shall not apply to a high deductible health plan as that term is used in subsection (f) of section 38a-493, as amended by this act.
Sec.
16.
Subsection (f) of section 38a-520 of the general statutes is repealed andthefollowing issubstituted inlieuthereof(EffectiveOctober 1, 2020):
(f) Home health care benefits may be subject to an annual deductible of not more than fifty dollars for each person covered under a policy and may be subject to a coinsurance provision that provides for coverage of not less than seventy-five per cent of the reasonable charges for such services.
Such policy may also contain reasonable limitations and exclusions applicable to home health care coverage.
A high deductible health plan, as defined in Section 220(c)(2) or Section 223(c)(2) of the Internal Revenue Code of 1986, or any subsequent corresponding internal revenue code of the United States, as amended from time to time, used to establish a medical savings account or an Archer MSA pursuant to Section 220 of said Internal Revenue Code or a health savings account pursuant to Section 223 of said Internal Revenue Code shall not be subject to the deductible limits set forth in this subsection.
Sec.
17.
Subsection (b) of section 38a-516a of the general statutes is repealed andthefollowing issubstituted inlieuthereof(EffectiveOctober 1, 2020):
LCO No.
1552 13 of 20 Committee Bill No.1 (b)Nosuchpolicy shallimposeacoinsurance, copayment,deductible or other out-of-pocket expense for such services, except that a high deductible health plan, as that term is used in subsection (f) of section 38a-520, as amended by this act, shall not be subject to the deductible limits set forth in this section.
Sec.
18.
Subdivision (2) of subsection (b) of section 38a-518k of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2020):
(2) A coinsurance, copayment, deductible or other out-of-pocket expense for any additional colonoscopy ordered in a policy year by a physician for an insured.
The provisions of this subdivision shall not apply to a high deductible health plan as that term is used in subsection (f) of section 38a-520, as amended by this act.
Sec.
19.
Subsection (b) of section 38a-518o of the general statutes is repealed andthefollowing issubstituted inlieuthereof(EffectiveOctober 1, 2020):
(b)Nosuchpolicy shallimposeacoinsurance, copayment,deductible or other out-of-pocket expense for such testing in excess of twenty per cent of the cost for such testing per year.
The provisions of this subsection shall not apply to a high deductible health plan as that term is used in subsection (f) of section 38a-520, as amended by this act.
Sec.
20.
Subsection (b) of section 38a-518r of the general statutes is repealed andthefollowing issubstituted inlieuthereof(EffectiveOctober 1, 2020):
(b) No policy described in subsection (a) of this section shall impose acoinsurance, copayment,deductibleorotherout-of-pocketexpensefor the benefits and services required under said subsection.
The provisions of this subsection shall apply to a high deductible health plan, as that term is used in subsection (f) of section [38a-493] 38a-520, as amended by this act, to the maximum extent permitted by federal law, except if LCO No.
1552 14 of 20 Committee Bill No.1 such plan is used to establish a medical savings account or an Archer MSA pursuant to Section 220 of the Internal Revenue Code of 1986 or any subsequent corresponding internal revenue code of the United States, as amended from time to time, or a health savings account [, as that term is used in] pursuant to Section 223 of [the] said Internal Revenue Code, [of 1986 or any subsequent corresponding internal revenue code of the United States,] as amended from time to time, the provisions of this subsection shall apply to such plan to the maximum extent that (1) is permitted by federal law, and (2) does not disqualify such account for the deduction allowed under said Section 220 or 223, as applicable.
Nothing in this section shall preclude a policy that provides the coverage required under subsection (a) of this section and uses a provider network from imposing cost-sharing requirements for any benefit or service required under said subsection (a) that is delivered by an out-of-network provider.
Sec.
21.
Subsection (b) of section 38a-518s of the general statutes is repealed andthefollowing issubstituted inlieuthereof(EffectiveOctober 1, 2020):
(b)Nosuchpolicy shallimposeacoinsurance, copayment,deductible or other out-of-pocket expense for the benefits and services required under subsection (a) of this section.
The provisions of this subsection shall apply to a high deductible health plan, as that term is used in subsection (f) of section [38a-493] 38a-520, as amended by this act, to the maximum extent permitted by federal law, except if such plan is used to establish a medical savings account or an Archer MSA pursuant to Section 220 of the Internal Revenue Code of 1986 or any subsequent corresponding internal revenue code of the United States, as amended from time to time, or a health savings account [, as that term is used in] pursuant to Section 223 of [the] said Internal Revenue Code, [of 1986 or any subsequent corresponding internal revenue code of the United States,] as amended from time to time, the provisions of this subsection shall apply to such plan to the maximum extent that (1) is permitted by federal law, and (2) does not disqualify such account for the deduction LCO No.
1552 15 of 20 Committee Bill No.1 allowed under said Section 220 or 223, as applicable.
Nothing in this section shall preclude a policy that provides the coverage required under subsection (a) of this section and uses a provider network from imposing cost-sharing requirements for any benefit or service required under said subsection (a) that is delivered by an out-of-network provider.
Sec.
22.
Subdivision (3) of subsection (b) of section 38a-518t of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2020):
(3)No suchpolicy shall impose acoinsurance, copayment, deductible or other out-of-pocket expense for a prosthetic device that is more restrictivethanthatimposedonsubstantially allotherbenefitsprovided undersuchpolicy,exceptthatahighdeductible healthplan,asthatterm is used in subsection (f) of section 38a-520, as amended by this act, shall not be subject to the deductible limits set forth in this subdivision or under Medicare pursuant to subdivision (1) of this subsection.
Sec.
23.
Subsection (c) of section 38a-530 of the 2020 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2020):
(c)Benefits under thissectionshallbesubject to any policy provisions that apply to other services covered by such policy, except that no such policy shall impose a coinsurance, copayment, deductible or other out- of-pocket expense for such benefits.
The provisions of this subsection shall apply to a high deductible health plan, as that term is used in subsection (f) of section 38a-520, as amended by this act, to the maximum extent permitted by federal law, except if such plan is used to establish a medical savings account or an Archer MSA pursuant to Section 220 of the Internal Revenue Code of 1986 or any subsequent corresponding internal revenue code of the United States, as amended from time to time, or a health savings account pursuant to Section 223 of said Internal Revenue Code, as amended from time to time, the provisions of this subsection shall apply to such plan to the maximum LCO No.
1552 16 of 20 Committee Bill No.1 extent that (1) is permitted by federal law, and (2) does not disqualify such account for the deduction allowed under said Section 220 or 223, as applicable.
Sec.
24.
Subsection (b) of section 38a-530e of the general statutes is repealedandthefollowing issubstituted inlieuthereof(EffectiveOctober 1, 2020):
(b) No policy described in subsection (a) of this section shall impose acoinsurance, copayment,deductibleorotherout-of-pocketexpensefor the benefits and services required under said subsection (a), except that any such policy that uses a provider network may require cost-sharing when such benefits and services are rendered by an out-of-network provider.
The cost-sharing limits imposed under this subsection shall apply to a high deductible health plan, as that term is used in subsection (f) of section [38a-493] 38a-520, as amended by this act, to the maximum extent permitted by federal law, except if such plan is used to establish a medical savings account or an Archer MSA pursuant to Section 220 of the Internal Revenue Code of 1986 or any subsequent corresponding internal revenue code of the United States, as amended from time to time, or a health savings account [, as that term is used in] pursuant to Section 223 of [the] said Internal Revenue Code, [of 1986 or any subsequent corresponding internal revenue code of the United States,] as amended from time to time, the provisions of this subsection shall apply to such plan to the maximum extent that (1) is permitted by federal law, and (2) does not disqualify such account for the deduction allowed under said Section 220 or 223, as applicable.
Sec.
25.
Subsection (b) of section 38a-530f of the general statutes is repealed andthefollowing issubstitutedinlieuthereof(EffectiveOctober 1, 2020):
(b) No policy described in subsection (a) of this section shall impose acoinsurance, copayment,deductibleorotherout-of-pocketexpensefor the benefits and services required under said subsection.
The provisions of this subsection shall apply to a high deductible health plan, as that LCO No.
1552 17 of 20 Committee Bill No.
1 term is used in subsection (f) of section [38a-493] 38a-520, as amended by this act, to the maximum extent permitted by federal law, except if such plan is used to establish a medical savings account or an Archer MSA pursuant to Section 220 of the Internal Revenue Code of 1986 or any subsequent corresponding internal revenue code of the United States, as amended from time to time, or a health savings account, as that term is used in Section 223 of [the] said Internal Revenue Code, [of 1986 or any subsequent corresponding internal revenue code of the United States,] as amended from time to time, the provisions of this subsection shall apply to such plan to the maximum extent that (1) is permitted by federal law, and (2) does not disqualify such account for the deduction allowed under said Section 220 or 223, as applicable.
Nothing in this section shall preclude a policy that provides the coverage required under subsection (a) of this section and uses a provider network from imposing cost-sharing requirements for any benefit or service required under said subsection (a) that is delivered by an out-of-network provider.
Sec.
26.
Subsection (c) of section 38a-550 of the general statutes is repealed andthefollowing issubstituted inlieuthereof(EffectiveOctober 1, 2020):
(c) The provisions of subsections (a) and (b) of this section shall not apply to a high deductible health plan as that term is used in subsection (f) of section 38a-520, as amended by this act.
This act shall take effect as follows and shall amend the following sections:
Section 1 January 1, 2021 38a-492d Sec.
2 January 1, 2021 38a-518d Sec.
3 from passage New section Sec.
4 from passage New section Sec.
5 October 1, 2020 38a-493(f) Sec.
6 October 1, 2020 38a-490a(b) Sec.
7 October 1, 2020 38a-492k(b)(2) Sec.
8 October 1, 2020 38a-492o(b) LCO No.
1552 18 of 20 Committee Bill No.
1 Sec.
9 October 1, 2020 38a-492r(b) Sec.
10 October 1, 2020 38a-492s(b) Sec.
11 October 1, 2020 38a-492t(b)(3) Sec.
12 October 1, 2020 38a-503(c) Sec.
13 October 1, 2020 38a-503e(b) Sec.
14 October 1, 2020 38a-503f(b) Sec.
15 October 1, 2020 38a-511(c) Sec.
16 October 1, 2020 38a-520(f) Sec.
17 October 1, 2020 38a-516a(b) Sec.
18 October 1, 2020 38a-518k(b)(2) Sec.
19 October 1, 2020 38a-518o(b) Sec.
20 October 1, 2020 38a-518r(b) Sec.
21 October 1, 2020 38a-518s(b) Sec.
22 October 1, 2020 38a-518t(b)(3) Sec.
23 October 1, 2020 38a-530(c) Sec.
24 October 1, 2020 38a-530e(b) Sec.
25 October 1, 2020 38a-530f(b) Sec.
26 October 1, 2020 38a-550(c) Statement of Purpose:
To:
(1) Expand required health insurance coverage for prescription drugs, equipment and supplies used to treat diabetes;
(2) restrict cost- sharing for such drugs, equipment and supplies;
(3) require licensed pharmacists to dispense such drugs, equipment and supplies without a prescription in certain circumstances;
(4) require the Commissioner of Social Services to study and report regarding the feasibility of implementing a low-income diabetes assistance fund;
and (5) make changes to various provisions of the general statutes concerning high deductible health plans to more closely conform to provisions of the Internal Revenue Code concerning health savings accounts and medical savings accounts.
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:
LOONEY, 11 Dist.
LOONEY, 11th Dist.;
KUSHNER, 24 Dist.
DUFF, 25th Dist.
th th SEN.
DUFF, 25 Dist.
LEONE, 27 Dist.
DAUGHERTY ABRAMS, 13th Dist.;
DAUGHERTY ABRAMS, 13 Dist.h SEN.
ANWAR, 3rd Dist.
LESSER, 9 Dist.
ANWAR, 3 Dist.
CASSANO, 4th Dist.;
MARONEY, 14 Dist.
COHEN, 12th Dist.
th nd SEN.
CASSANO, 4 Dist.
MCCRORY, 2 Dist.
FLEXER, 29th Dist.;
COHEN, 12 Dist.
FONFARA, 1st Dist.
LCO No.
1552 19 of 20 Committee Bill No.
1 SEN.
HARTLEY, 15th Dist.;
MOORE, 22 Dist.
HASKELL, 26th Dist.
FLEXER, 29 Dist.
KUSHNER, 24th Dist.;
NEEDLEMAN, 33 Dist.
LEONE, 27th Dist.
FONFARA, 1 Dist.
LESSER, 9th Dist.;
OSTEN, 19 Dist.
MARONEY, 14th Dist.
HARTLEY, 15 Dist.
MCCRORY, 2nd Dist.;
SLAP, 5 Dist.
MOORE, 22nd Dist.
HASKELL, 26 Dist.
NEEDLEMAN, 33rd Dist.;
WINFIELD, 10 Dist.
OSTEN, 19th Dist.
AN ACT CONCERNING THE MANUFACTURE AND DISTRIBUTION OF INSULIN.
SEN.
Be it enacted by the Senate and House of Representatives in General Assembly convened:
SLAP, 5th Dist.;
That title 21a of the general statutes be amended to require the Commissioner of Consumer Protection, in consultation with the Commissioner of Social Services and the Insurance Commissioner, to impose a fee on the manufacture and distribution of insulin.
SEN.
Statement of Purpose:
WINFIELD, 10th Dist.
To require the Commissioner of Consumer Protection, in consultation with the Commissioner of Social Services and the Insurance LCO No.
REP.
652 1 of 2 Proposed Bill No.
REYES, 75th Dist.
1 Commissioner, to impose a fee on the manufacture and distribution of insulin.
S.B.
LCO No.
1 LCO No.
652 2 of 2
1552 20 of 20
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Action History

  1. FILED WITH LCO

  2. Joint Favorable

  3. PUBLIC HEARING 0225

  4. REF. TO JOINT COMM. ON Insurance and Real Estate

  5. DRAFTED BY COMMITTEE

  6. Vote to Draft

  7. REF. TO JOINT COMM. ON Insurance and Real Estate

Sponsors

Sponsorship breakdown

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42 sponsors · 0 co-sponsors · 145 not signed on

Sponsors (42)

Co-sponsors (0)

None.

Not signed on (145)

145 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

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Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors SB 1?
SB 1 is sponsored by Bob Duff (Democratic), Conley, Christine, Reyes, Geraldo C., Horn, Maria P., Perone, Chris, Turco, Gary A., Cassano, Steve, Dathan, Lucy, Rochelle, Kara, Napoli, Ronald A., Johnson, Susan M., Linehan, Liz, Smith, Brian T., Winkler, Michael A., Daugherty Abrams, Mary, Yaccarino, Dave W., Borer, Dorinda, Haskell, Will, O'neill, Arthur J., Ritter, Matthew, Rotella, Kate, Mcgee, Brandon L., Godfrey, Bob, Concepcion, Julio A., Hampton, John K., Rose, Kim, Leone, Carlo, Mae Flexer (Democratic), Christine Cohen (Democratic), Matthew L. Lesser (Democratic), Joan V. Hartley (Democratic), Martin M. Looney (Democratic), Catherine A. Osten (Democratic), Saud Anwar (Democratic), Norman Needleman (Democratic), Julie Kushner (Democratic), Gary A. Winfield (Democratic), Douglas McCrory (Democratic), James J. Maroney (Democratic), John W. Fonfara (Democratic), Derek Slap (Democratic), and Marilyn Moore.
What is the current status of SB 1?
This bill died with 2020 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
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