Raised S.B. No. 1045
Session Year 2021
 


AN ACT CONCERNING STEP THERAPY, ADVERSE DETERMINATION AND UTILIZATION REVIEWS, AND HEALTH INSURANCE COVERAGE FOR CHILDREN, STEPCHILDREN AND OTHER DEPENDENT CHILDREN.

To: (1) Allow a child, stepchild or other dependent child to retain health insurance coverage under a parent's individual or group health insurance policy until the policy anniversary date after the date on which the child, stepchild or other dependent child attains the age of twenty-six; (2) prohibit certain health carriers from requiring the use of step therapy for drugs prescribed to treat behavioral health conditions or chronic, disabling or life-threatening conditions or diseases; (3) redefine "clinical peer" for the purposes of adverse determination and utilization reviews; (4) require health carriers to bear the burden of proving that certain health care services under adverse determination or utilization review are not medically necessary; and (5) require health carriers to provide certain clinical peers with the authority to reverse initial adverse determinations.

Introduced by:
Insurance and Real Estate Committee

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Co-sponsors for Amendment LCO:

Bill History

 Date Action Taken
 5/14/2021House Calendar Number 512
 5/14/2021Favorable Report, Tabled for the Calendar, House
 5/13/2021Senate Passed
 5/5/2021Favorable Report, Tabled for the Calendar, Senate
 5/5/2021No New File by Committee on Appropriations
 5/4/2021(LCO)Reported Out of Legislative Commissioners' Office
 5/4/2021(LCO)Filed with Legislative Commissioners' Office
 5/3/2021(APP)Joint Favorable
 4/28/2021Referred by Senate to Committee on Appropriations
 4/8/2021(LCO)File Number 370
 4/8/2021Senate Calendar Number 237
 4/8/2021Favorable Report, Tabled for the Calendar, Senate
 4/8/2021(LCO)Reported Out of Legislative Commissioners' Office
 4/1/2021(LCO)Referred to Office of Legislative Research and Office of Fiscal Analysis 04/07/21 5:00 PM
 3/23/2021(LCO)Filed with Legislative Commissioners' Office
 3/22/2021(INS)Joint Favorable
 3/12/2021Public Hearing 03/18
 3/11/2021Referred to Joint Committee on Insurance and Real Estate

Co-sponsors of SB-1045

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