CT HB05250

Individual health insurance policies providing outpatient prescription drug coverage cannot require prescribing providers to prescribe outpatient psychotropic drugs in quantities the provider deems clinically inappropriate, effective January 1, 2021.

Group health insurance policies providing outpatient prescription drug coverage are subject to the same prohibition on requiring clinically inappropriate quantities of outpatient psychotropic drugs, effective January 1, 2021.

Mental health care benefits provided under state law, with state funds, or to state employees cannot limit availability of the most effective psychotropic drugs or require use of less effective drugs through formularies or other means, effective January 1, 2021.

The prohibition applies to specified insurance coverage types under Connecticut General Statutes section 38a-469, subdivisions (1), (2), (4), (11), (12), and (16).

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