The General Assembly Raised Bill No. 6436 proposes revisions to the health insurance statutes, primarily focusing on the operations of the Insurance Department's health benefit review program and the reporting requirements for pharmacy benefits managers. The bill repeals and replaces subsection (b) of section 38a-21, allowing the Insurance Commissioner to engage various independent experts for mandated health benefit reviews instead of being required to contract with The University of Connecticut Center for Public Health and Health Policy. Additionally, it modifies the reporting timeline for pharmacy benefits managers, changing the deadline for annual reports from February 1, 2025, to March 1, 2026, and establishes a standardized reporting form to reduce administrative burdens.

Furthermore, the bill eliminates the requirement for the Insurance Commissioner to adopt regulations for certain health insurance coverage requirements, specifically regarding medically necessary wheelchair repairs and replacements. It also allows the commissioner to impose penalties on pharmacy benefits managers for violations of the reporting requirements and grants the commissioner discretion in adopting regulations related to the implementation of these provisions. Overall, the bill aims to streamline processes and enhance the flexibility of the Insurance Department in managing health benefit evaluations and pharmacy benefit reporting.

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Raised Bill: