Bill Text: CT HB05378 | 2018 | General Assembly | Introduced

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Bill Title: An Act Concerning Affirmative Attestations By Specialists Regarding Prescription Drugs.

Spectrum: Committee Bill

Status: (Introduced - Dead) 2018-03-02 - Public Hearing 03/06 [HB05378 Detail]

Download: Connecticut-2018-HB05378-Introduced.html

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General Assembly		Raised Bill No. 5378
February Session, 2018		LCO No. 1725
		*01725_______INS*
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
(INS)

AN ACT CONCERNING AFFIRMATIVE ATTESTATIONS BY SPECIALISTS REGARDING PRESCRIPTION DRUGS.

Be it enacted by the Senate and House of Representatives in General Assembly convened:

Section 1. (NEW) (Effective January 1, 2019) (a) Each insurer, health care center, hospital service corporation, medical service corporation or fraternal benefit society that delivers, issues for delivery, renews, amends or continues an individual or group health insurance policy in this state on or after January 1, 2019, that provides coverage of the type specified in subdivisions (1), (2), (4), (11), (12) and (16) of section 38a-469 of the general statutes and includes coverage for prescription drugs shall require that any specialist, as defined in section 38a-472f of the general statutes, who prescribes a prescription drug to an insured, or modifies a prescription issued to an insured by the insured's primary care provider, attest, in writing, that (1) such specialist has informed the insured's primary care provider of such prescription or change in prescription, and (2) any failure by such specialist to satisfy the provisions of subdivision (1) of this subsection may delay such specialist's receipt of a reimbursement for such provider's services.

(b) The Insurance Commissioner may adopt regulations, in accordance with chapter 54 of the general statutes, to implement the provisions of this section.

This act shall take effect as follows and shall amend the following sections:
Section 1	January 1, 2019	New section

Statement of Purpose:

To require that certain specialists affirmatively attest that they have informed an insured's primary care provider of certain prescriptions issued, and changes in prescriptions made, by such specialists or risk delaying reimbursement.

[Proposed deletions are enclosed in brackets. Proposed additions are indicated 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.]