Bill > HB06817

This bill requires the Connecticut Insurance Department to conduct a comprehensive study on how health insurance carriers (health carriers) use the prior authorization process. Prior authorization is a health insurance requirement where patients must obtain approval from their insurance company before receiving certain medical treatments or prescription drugs to ensure coverage. The study will specifically examine how health carriers potentially use prior authorization to deny medically necessary healthcare treatments. Key elements of the study will include exploring the possibility of creating a limited formulary (a restricted list) of prescription drugs and medical services for which prior authorization might be required, and investigating potential penalties for health carriers that violate the established guidelines. The bill aims to provide insights into potential reforms of the prior authorization process to ensure patients have more reliable access to necessary medical care.

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https://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&bill_num=HB06817&which_year=2025