OFFICE OF FISCAL ANALYSIS

Legislative Office Building, Room 5200

Hartford, CT 06106 (860) 240-0200

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

sHB-6310

AN ACT CONCERNING CONTRACTS WITH OPHTHALMOLOGISTS AND OPTOMETRISTS.

As Amended by House "A" (LCO 5566)

House Calendar No. : 191

OFA Fiscal Note

State Impact: None

Municipal Impact: None

Explanation

The bill does not result in a fiscal impact to the state employee health plan or fully insured municipalities. The bill requires equal access to a HMO or preferred provider network (PPN) for ophthalmologists and optometrists if the HMO or PPN provides these services. The bill does not require coverage of these services if they are not currently provided. Current law requires a HMO or PPN providing ophthalmologic care benefits to also provide optometric care.

Due to federal law self insured municipalities are exempt from state health insurance mandates.

House “A” makes the following changes: 1) changes the effective date from October 1, 2011 to January 1, 2012, 2) expands the bill's applicability to include PPNs, and 3) makes technical corrections. The changes do not result in a fiscal impact.

The Out Years

State Impact: None

Municipal Impact: None