OLR Bill Analysis

sHB 5767

AN ACT CONCERNING SYNCHRONIZING PRESCRIPTION REFILLS.

SUMMARY:

This bill prohibits certain health insurers that provide prescription drug coverage from denying coverage for refilling any drug prescribed to treat a chronic illness if the refill is made in accordance with a plan to synchronize the refilling of multiple prescriptions. The plan must involve the insured, a practitioner, and a pharmacist.

The bill applies to individual and group health insurance policies delivered, issued for delivery, renewed, amended, or continued in Connecticut that cover (1) basic hospital expenses; (2) basic medical-surgical expenses; (3) major medical expenses; (4) hospital or medical services, including coverage under an HMO plan; or (5) single-service ancillary health coverage plans, including dental, vision, and prescription drug plans.

Due to the federal Employee Retirement Income Security Act (ERISA), state insurance benefit mandates do not apply to self-insured benefit plans.

EFFECTIVE DATE: January 1, 2014

COMMITTEE ACTION

Aging Committee

Joint Favorable Change of Reference

Yea

11

Nay

0

(02/14/2013)

Insurance and Real Estate Committee

Joint Favorable Substitute

Yea

16

Nay

2

(03/07/2013)