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Bill > HB05374

CT HB05374

CT HB05374
An Act Concerning Health Coverage Mandates For Certain Health Conditions.

summary

Introduced
02/26/2026
In Committee
04/27/2026
Crossed Over
04/23/2026
Passed
05/28/2026
Dead
Signed/Enacted/Adopted
05/28/2026

Introduced Session

2026 General Assembly

Bill Summary

To: (1) require certain health insurance coverage for individual and group health insurance policies in this state, and (2) require that the Insurance Commissioner conduct a study of mandated health insurance coverage for certain medical treatments or services.

AI Summary

This bill mandates that certain individual and group health insurance policies in Connecticut, effective January 1, 2027, must provide coverage for the treatment of Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS) and Pediatric Acute-onset Neuropsychiatric Syndrome (PANS), including intravenous immunoglobulin therapy. Additionally, it requires coverage for scalp cooling systems used to prevent hair loss during chemotherapy, with terms and conditions similar to Medicare coverage, and prohibits more restrictive out-of-pocket expenses for these systems, except for high-deductible health plans. The bill also expands the definition of infertility for insurance coverage purposes, making it more inclusive of various medical histories, age-related factors, and the need for assisted reproductive technologies, and clarifies that coverage for in-vitro fertilization and similar procedures must be provided to individuals who meet this broader definition of infertility. Furthermore, the bill removes the exclusion for athletic purposes from the definition of "prosthetic device," meaning devices designed for athletic use may now be covered if deemed medically necessary.

Committee Categories

Budget and Finance, Business and Industry

Sponsors (52)

Raghib Allie-Brennan (D),  Aimee Berger-Girvalo (D),  Jason Buchsbaum (R),  Billy Buckbee (R),  Aundre Bumgardner (D),  Larry Butler (D),  Lucy Dathan (D),  Tom Delnicki (R),  Mike Demicco (D),  Jason Doucette (D),  Josh Elliott (D),  Kate Farrar (D),  Mary Fortier (D),  Jaime Foster (D),  Nicholas Gauthier (D),  Henry Genga (D),  William Heffernan (D),  Paul Honig (D),  Maria Horn (D),  Greg Howard (R),  Anne Hughes (D),  Tony Hwang (R),  Dominique Johnson (D),  Eleni Kavros DeGraw (D),  Sarah Keitt (D),  Maryam Khan (D),  John Kissel (R),  Julie Kushner (D),  Mary LaMark Muir (D),  Geoff Luxenberg (D),  Martha Marx (D),  Pat Miller (D),  Amy Morrin Bello (D),  Mary Mushinsky (D),  Anthony Nolan (D),  Tammy Nuccio (R),  Tom O'Dea (R),  Jason Perillo (R),  Michael Quinn (D),  M.D. Rahman (D),  Kara Rochelle (D),  Rob Sampson (R),  Kaitlyn Shake (D),  Michael Shannon (D),  Travis Simms (D),  Derek Slap (D),  Laurie Sweet (D),  Mary Welander (D),  Gary Winfield (D),  Steven Winter (D),  Kerry Wood (D),  Dave Yaccarino (R), 

Other Sponsors (1)

Insurance and Real Estate Committee (Joint)

Last Action

Signed by the Governor (on 05/28/2026)

Bill Topics

Health
  • ‐ Health Insurance Reform
  • ‐ Maternal Health
  • ‐ Treatment of Specific Diseases

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