Bill Text: CT SB00879 | 2011 | General Assembly | Comm Sub

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: An Act Concerning Health Insurance Coverage For Prescription Eye Drops.

Spectrum: Slight Partisan Bill (Democrat 2-1)

Status: (Engrossed - Dead) 2011-05-28 - House Calendar Number 560 [SB00879 Detail]

Download: Connecticut-2011-SB00879-Comm_Sub.html

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General Assembly		Substitute Bill No. 879
January Session, 2011		*_____SB00879INS___021811____*

AN ACT CONCERNING PRESCRIPTION EYE DROPS AND DEPENDENTS' DENTAL COVERAGE.

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

Section 1. Section 38a-492m of the general statutes is repealed and the following is substituted in lieu thereof (Effective January 1, 2012):

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, amended, renewed or continued in this state [on or after January 1, 2010,] that provides coverage for prescription eye drops, shall not deny coverage for: [a]

(1) A renewal of prescription eye drops when [(1)] (A) the renewal is requested by the insured less than thirty days from the later of [(A)] (i) the date the original prescription was distributed to the insured, or [(B)] (ii) the date the last renewal of such prescription was distributed to the insured, and [(2)] (B) the prescribing physician indicates on the original prescription that additional quantities are needed and the renewal requested by the insured does not exceed the number of additional quantities needed; and

(2) One additional bottle of prescription eye drops when (A) such bottle is requested by the insured or the prescribing physician at the time the original prescription is filled, and (B) the prescribing physician indicates on the original prescription that such additional bottle is needed by the insured for use in a day care center or school. Such additional bottle shall be limited to one every three months.

Sec. 2. Section 38a-518l of the general statutes is repealed and the following is substituted in lieu thereof (Effective January 1, 2012):

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, amended, renewed or continued in this state [on or after January 1, 2010,] that provides coverage for prescription eye drops, shall not deny coverage for: [a]

(1) A renewal of prescription eye drops when [(1)] (A) the renewal is requested by the insured less than thirty days from the later of [(A)] (i) the date the original prescription was distributed to the insured, or [(B)] (ii) the date the last renewal of such prescription was distributed to the insured, and [(2)] (B) the prescribing physician indicates on the original prescription that additional quantities are needed and the renewal requested by the insured does not exceed the number of additional quantities needed; and

(2) One additional bottle of prescription eye drops when (A) such bottle is requested by the insured or the prescribing physician at the time the original prescription is filled, and (B) the prescribing physician indicates on the original prescription that such additional bottle is needed by the insured for use in a day care center or school. Such additional bottle shall be limited to one every three months.

Sec. 3. (NEW) (Effective January 1, 2012) Each individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11), (12) and (16) of section 38a-469 of the general statutes delivered, issued for delivery, amended, renewed or continued in this state that includes coverage for dental care services shall provide that coverage of a child for dental care services shall terminate no earlier than the policy anniversary date on or after the date on which the child attains the age of twenty-six. Each such policy shall cover a stepchild on the same basis as a biological child.

Sec. 4. (NEW) (Effective January 1, 2012) Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11), (12) and (16) of section 38a-469 of the general statutes delivered, issued for delivery, amended, renewed or continued in this state that includes coverage for dental care services shall provide that coverage of a child for dental care services shall terminate no earlier than the policy anniversary date on or after the date on which the child attains the age of twenty-six. Each such policy shall cover a stepchild on the same basis as a biological child.

This act shall take effect as follows and shall amend the following sections:
Section 1	January 1, 2012	38a-492m
Sec. 2	January 1, 2012	38a-518l
Sec. 3	January 1, 2012	New section
Sec. 4	January 1, 2012	New section

INS

Joint Favorable Subst.