AN ACT CONCERNING REQUIRED HEALTH INSURANCE COVERAGE FOR BREAST AND OVARIAN CANCER SUSCEPTIBILITY SCREENING.
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SB 358 — AN ACT CONCERNING REQUIRED HEALTH INSURANCE COVERAGE FOR BREAST AND OVARIAN CANCER SUSCEPTIBILITY SCREENING.
Last action — SIGNED BY GOVERNOR
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed House
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced March 07, 2022. Enacted.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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Enacted
Current position in the legislative process.
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62 sponsors
62 primary, 0 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (25 D · 14 R) — cross-party backing.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
Bill Text
What changed in the latest version
401 added · 424 removed401 line(s) added, 424 removed.
General Assembly Substitute Senate Bill No.
358 FebruaryPublic Session,Act 2022No. AN ACT CONCERNING REQUIRED HEALTH INSURANCE COVERAGE FOR BREAST AND OVARIAN CANCER SUSCEPTIBILITY SCREENING.
22-90 AN ACT CONCERNING REQUIRED HEALTH INSURANCE COVERAGE FOR BREAST AND OVARIAN CANCER SUSCEPTIBILITY SCREENING.
(b) (1) Each individual health insurance policy providing coverage of thetypespecifiedinsubdivisions(1),(2),(4),(10),(11)and(12)ofsection LCO \\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-00358-R1 of 14 SB.docx Substitute Senate Bill No.
(A) A baseline mammogrammammogram, [, which may be provided by breast tomosynthesisattomosynthesis theoptionofthewomancoveredunderat thepolicy,]forthe option of the [woman] insured covered under the policy, for [any woman] an insured who is:
or (IV) Other indications as determined by the insured's physician, advanced practice registered nurse, physician'sphysician assistant, certified nurse midwife or other medical provider;
and (B) [a mammogram] Mammograms, which may be provided [byby breast tomosynthesis at the option of the woman[woman] insured covered under the policy,]policy, every year for [any woman] an insured who is:
(I)Public AAct familyNo. history, or prior personal history, of breast cancer;
LCO22-90 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-00322 of 1415 R02-SB.docx } Substitute Senate Bill No.
358 (II)(I) PositiveA geneticfamily testinghistory, for the harmful variant of breast cancer gene one, breast cancer gene two or anyprior otherpersonal genehistory, thatof materially increases the insured's risk for breast cancer;
(II) Positive genetic testing for the harmful variant of breast cancer gene one, breast cancer gene two or any other gene that materially increases the insured's risk for breast cancer;
or (IV) Other indications as determined by the insured's physician, advanced practice registered nurse, physician'sphysician assistant, certified nurse midwife or other medical provider.
[,] (II) [positive] Positive genetic testing [, or]or (III) other] for the harmful variant of breast cancer gene one, breast cancer gene two or any other gene that materially increases the insured's risk for breast cancer;
or [(III)Public other]Act (IV)No. Other indications as determined by [a woman's] the insured'sphysician, [physicianassistant or advancedpractice registered nurse;
or22-90 (iii)3 such screening is recommended by a woman's treating physician for a woman who (I) is forty years of age15 or older, (II) has a LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-0033 of 14 R02-SB.docx } Substitute Senate Bill No.
358 family(IV) historyOther orindications prioras personaldetermined historyby of[a breastwoman's] cancer,the orinsured's (III)physician, has[physician aassistant prioror personaladvanced historypractice ofregistered breastnurse; disease diagnosed through biopsy as benign;
and]or advanced(iii)suchscreening practiceisrecommendedby registeredawoman'streating nurse,physicianfor physician'sa assistant,woman certifiedwho nurse(I) midwifeis forty years of age or otherolder, medical(II) provider;has a family history or prior personal history of breast cancer, or (III) has a prior personal history of breast disease diagnosed through biopsy as benign;
and] advanced practice registered nurse, physician assistant, certified nurse midwife or other medical provider;
(i) [in] (i) In accordance with guidelines established by the American Cancer Society [.] for an insured who is thirty-five years of age or older;
or (IV) Other indications as determined by the insured's physician, advanced practice registered nurse, physician'sphysician assistant, certified nurse midwife or other medical provider;
(D) Prophylactic mastectomies for an insured who is believed to be at increased risk for breast cancer due to positive genetic testing for the harmfulPublic variantAct ofNo. breast cancer gene one, breast cancer gene two or any other gene that materially increases the insured's risk for breast cancer;
22-90 4 of 15 Substitute Senate Bill No.
358 harmful variant of breast cancer gene one, breast cancer gene two or any other gene that materially increases the insured's risk for breast cancer;
LCO(i) {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-00358-4A ofprophylactic 14mastectomy; R02-SB.docx } Substitute Bill No.
358 (i) A prophylactic mastectomy;
(c)Benefits under thisthissectionshallbesubject sectionshallbesubject 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.
"If your mammogram demonstrates that you have dense breast tissue, which could hide small abnormalities, you might benefit from supplementary screening tests, which can include a breast ultrasoundPublic screeningAct orNo. a breast MRI examination, or both, depending on your individual risk factors.
22-90 5 of 15 Substitute Senate Bill No.
358 ultrasound screening or a breast MRI examination, or both, depending on your individual risk factors.
LCOSec. {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-0035 of 14 R02-SB.docx } Substitute Bill No.
358 Sec.
(A) A baseline mammogrammammogram, [, which may be provided by breast tomosynthesisattomosynthesis theoptionofthewomancoveredunderat thepolicy,]forthe option of the [woman] insured covered under the policy, for [any woman] an insured who is:
[thirty-five] (i)Public Thirty-fiveAct toNo. thirty-nine years of age, inclusive;
22-90 6 of 15 Substitute Senate Bill No.
358 (i) Thirty-five to thirty-nine years of age, inclusive;
(II) Positive genetic testing for the harmful variant of breast cancer gene one, breast cancer gene two or any other gene variant that LCOmaterially {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-0036increases ofthe 14insured's R02-SB.docxrisk }for Substitutebreast Billcancer; No.
358 materially increases the insured's risk for breast cancer;
or (IV) Other indications as determined by the insured's physician, advanced practice registered nurse, physician'sphysician assistant, certified nurse midwife or other medical provider;
and (B) [a[a] A mammogram, which may be provided by breast tomosynthesis at the option of the woman[woman] insured covered under the policy,]policy, Mammograms every year for [any woman] an insured who is:
(III) Prior treatment for a childhood cancer if the course of treatment for the childhood cancer included radiation therapy directed at the chest;Public Act No.
Show all 88 changed lines (48 more)
or22-90 (IV)7 Otherof indications15 asSubstitute determinedSenate byBill theNo. insured's physician, advanced practice registered nurse, physician's assistant, certified nurse midwife or other medical provider.
358 chest;
or (IV) Other indications as determined by the insured's physician, advanced practice registered nurse, physician assistant, certified nurse midwife or other medical provider.
LCO(i) {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-003587A ofmammogram 14demonstrates R02-SB.docxheterogeneous }or Substitutedense Billbreast No.tissue based on the Breast Imaging Reporting and Data System established by the American College of Radiology;
358 (i) A mammogram demonstrates heterogeneous or dense breast tissue based on the Breast Imaging Reporting and Data System established by the American College of Radiology;
[,] (II) [positive] Positive genetic testing [, or]or (III) other] for the harmful variant of breast cancer gene one, breast cancer gene two or any other gene that materially increases the insured's risk for breast cancer;
or [(III) other] (IV) Other indications as determined by [a woman's] the insured'sphysician,insured's [physicianassistantphysician, [physician assistant or advancedpracticeadvanced practice registered nurse;
or (iii)(iii)suchscreening suchisrecommendedby screeningawoman'streating isphysicianfor recommended by a woman's treating physician for a woman who (I) is forty years of age or older, (II) has a family history or prior personal history of breast cancer, or (III) has a prior personal history of breast disease diagnosed through biopsy as benign;
and] advanced practice registered nurse, physician'sphysician assistant, certified nurse midwife or other medical provider;
(B)[Magnetic]Public DiagnosticandscreeningAct magneticNo. resonance imaging of an entire breast or breasts:
(i)22-90 [in]8 Inof accordance15 withSubstitute guidelinesSenate establishedBill byNo. the American Cancer Society [.] for an insured who is thirty-five years of age or older;
358 (B)[Magnetic] Diagnosticandscreening magnetic resonance imaging of an entire breast or breasts:
[in] (i) In accordance with guidelines established by the American Cancer Society [.] for an insured who is thirty-five years of age or older;
LCO(II) {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-0038Positive genetic testing for the harmful variant of 14breast R02-SB.docxcancer }gene Substituteone, Billbreast No.cancer gene two or any other gene that materially increases the insured's risk for breast cancer;
358 (II) Positive genetic testing for the harmful variant of breast cancer gene one, breast cancer gene two or any other gene that materially increases the insured's risk for breast cancer;
or (IV) Other indications as determined by the insured's physician, advanced practice registered nurse, physician'sphysician assistant, certified nurse midwife or other medical provider;
or (ii) A mastectomy as part of the insured's course of treatment for breastPublic cancer.Act No.
22-90 9 of 15 Substitute Senate Bill No.
358 breast cancer.
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, 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 LCOhealth {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-0039savings account pursuant to Section 223 of 14said R02-SB.docxInternal }Revenue SubstituteCode, Billas No.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.
358 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.
(NEW) (Effective January 1, 2023) (a) For purposes of this section:Public Act No.
22-90 10 of 15 Substitute Senate Bill No.
358 section:
or (B) Positive genetic testing for the harmful variant of breast cancer gene one, breast cancer gene two or any other gene variant that LCOmaterially {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-0010increases ofthe 14insured's R02-SB.docxrisk }for Substitutebreast Billcancer, No.ovarian cancer or any other gynecological cancers.
358 materially increases the insured's risk for breast cancer, ovarian cancer or any other gynecological cancers.
(1) Genetic testing for insureds having a family history of breast or ovarianPublic cancer;Act No.
22-90 11 of 15 Substitute Senate Bill No.
358 ovarian cancer;
and (4) Genetic testing of the breast cancer gene one, breast cancer gene two, any other gene variant that materially increases the insured's risk for breast and ovariancancer or any other gynecological cancer to detect an increased risk for breast and ovarian cancer when recommended by a health care provider in accordance with the United States Preventive LCOServices {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-003511Task ofForce 14recommendations R02-SB.docxfor }testing. Substitute Bill No.
358(c)Benefits Servicesunder Taskthissectionshallbesubject Forceto recommendationsany 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 testing.such benefits.
(c)Benefits under thissectionshallbe subject 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.
Sec.Public Act No.
22-90 12 of 15 Substitute Senate Bill No.
358 Sec.
LCO(2) {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-003512"Surveillance oftests 14for R02-SB.docxovarian }cancer" Substitutemeans Billannual No.screening using:
358 (2) "Surveillance tests for ovarian cancer" means annual screening using:
(1)Public GeneticAct testingNo. for insureds having a family history of breast or ovarian cancer;
22-90 13 of 15 Substitute Senate Bill No.
358 (1) Genetic testing for insureds having a family history of breast or ovarian cancer;
(c)Benefits under thissectionshallbesubject to any policy provisions LCOthat {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-00313apply ofto 14other R02-SB.docxservices }covered Substituteby Billsuch No.policy, except that no such policy shall impose a coinsurance, copayment, deductible or other out- of-pocket expense for such benefits.
358 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.
ThisPublic actAct shallNo. take effect as follows and shall amend the following sections:
January22-90 1,14 2023of Section15 1Substitute 38a-503Senate Sec.Bill No.
2358 JanuaryApproved 1,May 202331, 38a-5302022 Sec.Public Act No.
322-90 January15 1,of 202315 New section Sec.
4 January 1, 2023 New section INS Joint Favorable Subst.
APP Joint Favorable LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-00358-14 of 14 R02-SB.docx }
Show all 88 changed rows (48 more)
View plain text versions (5)
- Chaptered Public Act No. 22-90 Current pdf
- APP Joint Favorable View text pdf
- File No. 356 View text pdf
- Raised Bill View text pdf
- Substitute INS Joint Favorable Substitute pdf
AI-generated reading aid from the bill's amendatory text — verify against the official bill.
The bill updates health insurance policies to ensure coverage for breast cancer screenings and related diagnostics, expanding access and detailing specific requirements for benefits.
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Section 38a-503
to any woman covered under the policy→ for insuredsThis change clarifies the language to refer to insured individuals rather than specifically women.
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Section 38a-503
any woman→ an insured who isThis adjustment again specifies coverage for insured individuals, promoting inclusivity.
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Section 38a-503
thirty-five→ Thirty-five to thirty-nine years of age, inclusive; orThis change defines the age range for baseline mammograms more clearly.
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Section 38a-503
[forty]→ forty years of age or older;This modifies the language to specify the age requirement for annual mammograms.
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Section 38a-503
[a woman] an insured is believed to be at increased risk for breast cancer due to:→ an insured is believed to be at increased risk for breast cancer due to:This change ensures consistency in referring to insureds instead of gender-specific terms.
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Section 38a-503
[ultrasound screening]→ diagnostic and screening ultrasoundsThis expands the type of ultrasound covered under the policy.
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Section 38a-503
[Magnetic]→ Diagnostic and screening magnetic resonance imagingThis change clarifies the type of imaging that insurance policies must cover.
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Section 38a-503
[a patient's]→ an insured'sThis change standardizes the language to refer to individuals covered under the insurance.
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Section 38a-530
to any woman covered under the policy→ for insuredsLike section 38a-503, this change broadens the language to include all insured individuals.
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Section 38a-530
any woman→ an insured who isThis amendment again ensures inclusivity in the definition of those covered.
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Section 38a-530
[forty]→ forty years of age or older;This specifies the age requirement for annual mammograms under the insurance policy.
Action History
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SIGNED BY GOVERNOR
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TRANSMITTED BY SECRETARY OF THE STATE TO GOVERNOR
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TRANSMITTED TO SECRETARY OF THE STATE
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PUBLIC ACT 22-90
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IN CONCURRENCE
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HOUSE PASSED, SEN. AMEND. SCH. A
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HOUSE REJECTED HOUSE AMEND. SCH. A
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HOUSE ADOPTED SEN. AMEND. SCH. A
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HOUSE CALENDAR NUMBER 493
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FAV. RPT., TABLED FOR HOUSE CALENDAR
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ON CONSENT CALENDAR
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SEN. PASSED, SEN. AMEND. SCH. A
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SEN. ADOPTED SEN. AMEND. SCH. A
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FAV. RPT., TAB. FOR CAL., SEN.
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NO NEW FILE BY COMM. ON Appropriations
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RPTD. OUT OF LCO
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FILED WITH LCO
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Joint Favorable
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REF. BY SEN. TO COMM. ON Appropriations
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FILE NO. 356
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SENATE CALENDAR NUMBER 254
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FAV. RPT., TAB. FOR CAL., SEN.
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RPTD. OUT OF LCO
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REFERRED TO Office of Legislative Research AND Office of Fiscal Analysis 04/05/22
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FILED WITH LCO
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Joint Favorable Substitute
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PUBLIC HEARING 0315
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REF. TO JOINT COMM. ON Insurance and Real Estate
Sponsors
- Tom Delnicki · Primary
- Susan M. Johnson · Primary
- Eleni Kavros DeGraw · Primary
- Edwin Vargas · Primary
- John-Michael Parker · Primary
- Christie M. Carpino · Primary
- Michael DiGiovancarlo · Primary
- Amy Morrin Bello · Primary
- Anthony L. Nolan · Primary
- Charlie L. Stallworth · Primary
- Jane M. Garibay · Primary
- Patrick S. Boyd · Primary
- Catherine F. Abercrombie · Primary
- Lucy Dathan · Primary
- Holly H. Cheeseman · Primary
- Kate Farrar · Primary
- John A. Kissel · Primary
- Cristin Mccarthy Vahey · Primary
- David Michel · Primary
- Nicole Klarides-Ditria · Primary
- Paul Cicarella · Primary
- Eric C. Berthel · Primary
- Ronald A. Napoli · Primary
- Frank Smith · Primary
- Gregory Haddad · Primary
- Mitch Bolinsky · Primary
- Stephen R. Meskers · Primary
- Maria P. Horn · Primary
- Brian T. Smith · Primary
- Devin R. Carney · Primary
- Michael A. Winkler · Primary
- Joan V. Hartley · Primary
- William A. Petit · Primary
- Christine Conley · Primary
- Patricia A. Dillon · Primary
- Matt Blumenthal · Primary
- Tony Hwang · Primary
- Heather S. Somers · Primary
- Paul M. Formica · Primary
- Dave W. Yaccarino · Primary
- James Sanchez · Primary
- Geraldo C. Reyes · Primary
- Kenneth M Gucker · Primary
- Josh Elliott · Primary
- Carol Hall · Primary
- Kevin D. Witkos · Primary
- Dorinda Borer · Primary
- Saud Anwar · Primary
- John K. Hampton · Primary
- Gary A. Turco · Primary
- Corey P. Paris · Primary
- Charles J. Ferraro · Primary
- Travis Simms · Primary
- Michelle L. Cook · Primary
- Bill Buckbee · Primary
- Kara Rochelle · Primary
- Philip L. Young · Primary
- Kathy Kennedy · Primary
- Matthew L. Lesser · Primary
- Marilyn Moore · Primary
- Kevin C. Kelly · Primary
- K. Mccarty · Primary
Sponsorship breakdown
Export CSV (upgrade) →62 sponsors · 0 co-sponsors · 125 not signed on
Sponsors (62)
- Tom Delnicki Republican
- Susan M. Johnson Democratic
- Eleni Kavros DeGraw Democratic
- Vargas, Edwin
- John-Michael Parker Democratic
- Christie M. Carpino Republican
- Michael DiGiovancarlo Democratic
- Morrin Bello, Amy
- Anthony L. Nolan Democratic
- Stallworth, Charlie L.
- Jane M. Garibay Democratic
- Patrick S. Boyd Democratic
- Abercrombie, Catherine F.
- Lucy Dathan Democratic
- Cheeseman, Holly H.
- Kate Farrar Democratic
- John A. Kissel Republican
- Mccarthy Vahey, Cristin
- Michel, David
- Nicole Klarides-Ditria Republican
- Paul Cicarella Republican
- Eric C. Berthel Republican
- Ronald A. Napoli Democratic
- Frank Smith Democratic
- Gregory Haddad Democratic
- Mitch Bolinsky Republican
- Stephen R. Meskers Democratic
- Maria P. Horn Democratic
- Smith, Brian T.
- Devin R. Carney Republican
- Winkler, Michael A.
- Joan V. Hartley Democratic
- Petit, William A.
- Conley, Christine
- Patricia A. Dillon Democratic
- Matt Blumenthal Democratic
- Tony Hwang Republican
- Heather S. Somers Republican
- Formica, Paul M.
- Dave W. Yaccarino Republican
- James Sanchez Democratic
- Geraldo C. Reyes Democratic
- Gucker, Kenneth M
- Josh Elliott Democratic
- Carol Hall Republican
- Witkos, Kevin D.
- Borer, Dorinda
- Saud Anwar Democratic
- Hampton, John K.
- Gary A. Turco Democratic
- Paris, Corey P.
- Ferraro, Charles J.
- Travis Simms Democratic
- Cook, Michelle L.
- Bill Buckbee Republican
- Kara Rochelle Democratic
- Young, Philip L.
- Kathy Kennedy Republican
- Matthew L. Lesser Democratic
- Marilyn Moore
- Kevin C. Kelly
- Mccarty, K.
Co-sponsors (0)
None.
Not signed on (125)
125 members have not signed on to this bill.
Show all 125 →"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.
Subjects
Frequently asked questions
- Who sponsors SB 358?
- SB 358 is sponsored by Tom Delnicki (Republican), Susan M. Johnson (Democratic), Eleni Kavros DeGraw (Democratic), Vargas, Edwin, John-Michael Parker (Democratic), Christie M. Carpino (Republican), Michael DiGiovancarlo (Democratic), Morrin Bello, Amy, Anthony L. Nolan (Democratic), Stallworth, Charlie L., Jane M. Garibay (Democratic), Patrick S. Boyd (Democratic), Abercrombie, Catherine F., Lucy Dathan (Democratic), Cheeseman, Holly H., Kate Farrar (Democratic), John A. Kissel (Republican), Mccarthy Vahey, Cristin, Michel, David, Nicole Klarides-Ditria (Republican), Paul Cicarella (Republican), Eric C. Berthel (Republican), Ronald A. Napoli (Democratic), Frank Smith (Democratic), Gregory Haddad (Democratic), Mitch Bolinsky (Republican), Stephen R. Meskers (Democratic), Maria P. Horn (Democratic), Smith, Brian T., Devin R. Carney (Republican), Winkler, Michael A., Joan V. Hartley (Democratic), Petit, William A., Conley, Christine, Patricia A. Dillon (Democratic), Matt Blumenthal (Democratic), Tony Hwang (Republican), Heather S. Somers (Republican), Formica, Paul M., Dave W. Yaccarino (Republican), James Sanchez (Democratic), Geraldo C. Reyes (Democratic), Gucker, Kenneth M, Josh Elliott (Democratic), Carol Hall (Republican), Witkos, Kevin D., Borer, Dorinda, Saud Anwar (Democratic), Hampton, John K., Gary A. Turco (Democratic), Paris, Corey P., Ferraro, Charles J., Travis Simms (Democratic), Cook, Michelle L., Bill Buckbee (Republican), Kara Rochelle (Democratic), Young, Philip L., Kathy Kennedy (Republican), Matthew L. Lesser (Democratic), Marilyn Moore, Kevin C. Kelly, and Mccarty, K..
- What is the current status of SB 358?
- This bill has been enacted into law. Introduced March 07, 2022. Enacted.
- Where can I track SB 358?
- Track SB 358 free on One Click Politics — get push/email alerts when it moves.
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