Insurance and Real Estate Committee

JOINT FAVORABLE REPORT

Bill No.:

SB-586

Title:

AN ACT EXPANDING MANDATED HEALTH BENEFITS FOR WOMEN, CHILDREN AND ADOLESCENTS, AND REQUIRING THAT THE COMMISSIONER OF SOCIAL SERVICES AMEND THE STATE MEDICAID PLAN TO PROVIDE EXPANDED CONTRACEPTION BENEFITS.

Vote Date:

3/9/2017

Vote Action:

Joint Favorable Substitute

PH Date:

2/16/2017

File No.:

SPONSORS OF BILL:

Insurance & Real Estate Committee

REASONS FOR BILL:

The bill intends to codify certain health benefits for women, children, and adolescents mandated by the Affordable Care Act into state law in order to protect access to such benefits with little or no cost to consumers in Connecticut.

SUBSTITUTE LANGUAGE:

Lines 171-194 and 239-262 were added defining more benefits to be codified into state statutes. The benefits include contraceptive methods, sterilization methods, counseling, follow-up care, copayments, and step therapy.

RESPONSE FROM ADMINISTRATION/AGENCY:

State of Connecticut Insurance Department, submitted testimony stating that certain contraceptive methods are already required to be included in coverage by state law. The CID suggests waiting to implement such legislation until after there is action taken on the ACA at the federal level in order to better understand what mandates and requirements are passed down.

Office of the Healthcare Advocate, submitted testimony in support of the bill stating that the legislation would preserve important health benefits for women and children in the “reasonably likely event” that the ACA is repealed by Congress without similar consumer protections to replace them.

State of Connecticut Comptroller, submitted testimony in support of the bill noting the key health care protections that would be preserved by the legislation in the face of an “imminent threat of repeal” of the ACA at the federal level. It was stated that these protections would help the short-term financial stability for the consumers that had utilized the benefits under the ACA.

Sen. Mae Flexer, 29th District

Rep. Christine Conley, 40th District

Rep. Liz Linehan, 103rd District

Rep. Kelly Luxenberg, 12th District

Rep. Cristin McCarthy Vahey, 133rd District

Rep. Robyn Porter, 94th District

Rep. Caroline Simmons, 144th District,

All the parties above submitted testimony noting the importance of protecting the health benefits outlined in the bill pending any repeal or replacement of the ACA and that such benefits be available to consumers at little or no out-of-pocket cost.

NATURE AND SOURCES OF SUPPORT:

Margaret Adair Quinn, Bethany, CT

Anonymous Citizen, New Haven, CT

Erin Badillo, Action Together Connecticut

Kristen Basiaga, Cromwell, CT

Amy Breakstone, MD, CCOG Women's Health Group

Amy Bush

Meaghan Byrne

April Capone, North Haven, CT

Sarah Croucher, NARAL Pro-Choice Connecticut

Susan DeSilver, Northford, CT

Brenna Doyle, Vernon, CT

Mary-Jane Eisen, Saint Joseph College Psychology Department

Lindsay Farrell, CT State Director, Working Families Organization

Emily Fine, MD, Yale Medical School

Kaitlyn Fydenkevez, Director Public Policy and Relations, CT Alliance to end Sexual Violence

Claudia Nachemson. Wilton, CT

Rosana Garcia, Policy Associate, Universal Health Care Foundation of Connecticut

Alice Garlock

Jillian Gilchrest, Director of Health Professional Outreach, CT Coalition Against Domestic Violence

Madeline Granato, Policy Manager, CWEALF

Donna Haghighat, West Hartford, CT

Pamela Heller, West Hartford, CT

James Herm, Greenwich, CT

Laura Karson, Fairfield, CT

Maraya Keny-Guyer, President, Reproductive Justice Action League at Yale

Erike Lynn-Green, Reproductive Justice Action League at Yale

Carolyn Kirwan, New Haven, CT

Jessica Labrencis, West Hartford, CT

Jennifer Lepore, New Haven

Andrea Levine, Greenwich, CT

Jill Maller-Kesselman, North Haven, CT

Lori Mansur, Pediatric Registered Nurse

Nakisha Mayo

Jill Merriam Dubitsky, West Hartford, CT

Kathleen Milazzo Swahn

Danielle Morfi, North Haven, CT

Cynthia Mulhearn, Southington, CT

Christine Palm, Communication and Women's Policy Analyst, CWCS

Sarah Raskin, PhD, Department of Psychology, Trinity College

Anusha Raturi, New Haven, CT

Terri Roper, Mystic, CT

Amanda Rostkowski, Hamden, CT

Evelyn Rubak, Fairfield, CT

Samantha Savvidou, Graduate Student, UCONN

Deanna Spartachino

Stacey Spartz, Enfield, CT

Carolyn Stearns, Manchester

Sarah Stein, Reproductive Justice Action League at Yale,

Danny Stone, New Haven, CT

Anthony Stowers, New Haven, CT

Laurie Sweet, New Haven, CT

Louise Washer, Norwalk, CT

Amy Woodrum, New Haven, CT

Susan Yolen, Planned Parenthood

All of the parties above submitted testimony noting the importance of protecting the health benefits outlined in the bill pending any repeal or replacement of the ACA and that such benefits be available to consumers at little or no out-of-pocket cost.

NATURE AND SOURCES OF OPPOSITION:

Anthem Blue Cross and Blue Shield Connecticut

Jennifer Herz, CBIA

The parties above submitted testimony asking the committee to delay taking action on the bill until the federal reforms are known and passed in order to better understand what the new national health care policy and mandates will look like.

Connecticut Association of Health Plans, submitted testimony stating that the provisions outlined in the bill are already required in Connecticut, thus making the legislation unnecessary. It was also noted that the proposal was premature due to the uncertainty at the federal level.

Connecitcut Conference of Municipalities, submitted testimony noting that any state-mandated expansions of health care coverage would increase insurance costs and resulting in premium rate increases. They urge a detailed fiscal analysis on the impact of the proposals.

Reported by: Matt Hoey

Date: [Type Date]