Substitute Senate Bill No. 167
AN ACT CONCERNING BENEFITS FOR INPATIENT TREATMENT OF SERIOUS MENTAL OR NERVOUS CONDITIONS.
Be it enacted by the Senate and House of Representatives in General Assembly convened:
Section 1. Subsection (k) of section 38a-514 of the 2008 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective January 1, 2009):
(k) In the case of benefits based upon confinement in a residential treatment facility, such benefits shall be payable [only] in situations in which [(A) the insured has a serious mental illness which substantially impairs the person's thought, perception of reality, emotional process, or judgment or grossly impairs behavior as manifested by recent disturbed behavior, (B) the insured has been confined in a hospital for such illness for a period of at least three days immediately preceding such confinement in a residential treatment facility, and (C) such illness would otherwise necessitate continued confinement in a hospital if such care and treatment were not available through a residential treatment center for children and adolescents] the insured has a serious mental or nervous condition that substantially impairs the insured's thoughts, perception of reality, emotional process or judgment or grossly impairs the behavior of the insured, and, upon an assessment of the insured by a physician, psychiatrist, psychologist or clinical social worker, cannot appropriately, safely or effectively be treated in an acute care, partial hospitalization, intensive outpatient or outpatient setting.
Approved May 27, 2008