OFFICE OF FISCAL ANALYSIS

Legislative Office Building, Room 5200

Hartford, CT 06106 (860) 240-0200

http: //www. cga. ct. gov/ofa

HB-5023

AN ACT REQUIRING HEALTH INSURANCE COVERAGE FOR WOUND CARE FOR INDIVIDUALS WITH EPIDERMOLYSIS BULLOSA.

OFA Fiscal Note

State Impact: None

Municipal Impact:

Municipalities

Effect

FY 10 $

FY 11 $

Various Municipalities

STATE MANDATE - Cost

Potential

Potential

Explanation

The bill mandates coverage for wound care supplies that are medically necessary for the treatment of insured individuals diagnosed with Epidermolysis Bullosa. There are no anticipated costs to the state health plans since the state plans currently provide this coverage.

The bill's provisions may increase costs to certain fully insured municipal plans that currently do not provide the coverage mandated. The coverage requirements may result in increased premium costs when municipalities enter into new health insurance contracts. Due to federal law, municipalities with self-insured health plans are exempt from state health insurance benefit mandates.

The Out Years

The annualized ongoing fiscal impact identified above would continue into the future subject to inflation.

Sources: Office of the State Comptroller, Municipal Employees Health Insurance Plan (MEHIP) Schedule of Benefits, State Employee Health Plan Subscriber Agreement.