Connecticut Raised Bill No. 336 Summary

• Requires health insurers, hospital service corporations, medical service corporations, and fraternal benefit societies to give credit for third-party payments toward an insured's coinsurance, copayment, deductible, and other out-of-pocket expenses for covered benefits, effective January 1, 2021.

• Mandates managed care organizations to credit third-party payments when calculating enrollee cost-sharing liability for covered benefits under contracts delivered, issued, renewed, amended or continued on or after January 1, 2021.

• Requires contracts between health carriers and pharmacy benefits managers to mandate that pharmacy benefits managers credit third-party payments toward insured or enrollee cost-sharing for covered prescription drug benefits, effective January 1, 2021.

• Amends section 38a-1 of the general statutes to update definitions applicable to the new requirements in sections 2, 4, and 5 of the act.

• Prohibits the use of copay accumulator programs that previously prevented third-party assistance (such as manufacturer copay cards) from counting toward patient cost-sharing obligations.