CT SB00379

Prohibits individual and group health insurance policies from removing covered prescription drugs from formularies or moving them to higher cost-sharing tiers during a policy term, effective January 1, 2019.

Applies only to policies imposing more than $40 in coinsurance, copayment, deductible, or other out-of-pocket expenses for covered prescription drugs.

Allows drug removal only if the drug is not medically necessary (with 60 days' advance notice and prescriber agreement) or is identified as unsafe/ineffective by the FDA or peer-reviewed medical literature.

Permits health insurers to add new drugs to formularies during the policy term without affecting existing covered drugs or their cost-sharing classifications.

Amends sections 38a-492f (individual policies) and 38a-518f (group policies) of the Connecticut General Statutes.