CT HB07261

Individual health insurance policies delivering coverage on or after January 1, 2020 cannot require prescribing providers to prescribe outpatient psychotropic drugs in quantities the provider deems clinically inappropriate.

Group health insurance policies delivering coverage on or after January 1, 2020 are subject to the same restriction on requiring clinically inappropriate quantities of outpatient psychotropic drugs.

Mental health care benefits provided under state law, with state funds, or to state employees cannot use drug formularies or other means to limit availability of the most effective psychotropic drugs with the least probability of adverse side effects.

Mental health care benefits cannot require prescribing providers to dispense outpatient psychotropic drugs in quantities deemed clinically inappropriate by the provider.

Differential copays among pharmaceutical treatments and utilization review procedures remain permitted under the law.