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HB 6895 Connecticut House · 2025 Regular Session

AN ACT CONCERNING HEALTH BENEFIT REVIEW AND REQUIRING HEALTH INSURANCE COVERAGE FOR BIOMARKER TESTING.

HB 6895 requires health insurers in Connecticut to cover biomarker testing as a mandated health benefit, directly affecting all individual and group health insurance plans sold in the state. The bill establishes a mandatory review process for all new mandated health benefits passed after 2025, requiring the Insurance Commissioner to assess costs, quality impacts, and availability of coverage by independent experts. It includes a 4-year sunset provision, meaning new mandated benefits (like biomarker testing coverage) automatically expire unless the legislature reauthorizes them after a review. The law also mandates annual reports to the legislature on the impacts of mandated benefits, focusing on cost, utilization, and existing coverage options.
Issues: ✓ HealthcareSupports HealthcareMandates insurer coverage for biomarker testing, expanding patient access to specific medical services under health insurance benefits.95% confidence
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 6, 2025 Last action Apr 29, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Raised Bill → INS Joint Favorable Substitute · 6 edits
MODERATE
This bill was revised from a raised version to a substitute version with significant changes to its title, effective dates, and core provisions regarding mandated health benefits. The most important change is that the bill now requires health insurance coverage for biomarker testing, which was not in the original version. The effective date was moved from October 1, 2025 to January 1, 2026, and the review process for mandated benefits was substantially restructured.
Scope change
The bill's scope expanded to include biomarker testing requirements, and the review process for mandated health benefits was changed from a committee-driven system to a more automatic review system with specific termination provisions.
TITLE

The bill title was expanded to include 'and Requiring Health Insurance Coverage for Biomarker Testing', adding a new substantive requirement not present in the original version.

TIMELINE

The effective date for the new provisions was changed from October 1, 2025 to January 1, 2026.

REQUIREMENT

The definition of 'mandated health benefit' was modified to clarify it includes any statutory obligation or proposed legislation requiring coverage from various health care entities.

The review process for mandated health benefits was changed from a committee-requested system to an automatic system where benefits passed by the General Assembly after January 1, 2026 are automatically terminated four years later unless re-approved.

The commissioner's review report requirements were modified to include specific evaluation criteria about treatment utilization, availability through other programs, and existing insurance coverage.

FISCAL

The funding mechanism for the health benefit review program was modified to apply only to benefits passed by the General Assembly on or after January 1, 2026.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
10
Key actions
2
Committee
3
Apr 29, 2025
Lower · Passed
REF. BY HOUSE TO COMMITTEE ON Appropriations
lower
Mar 11, 2025
Lower · Passed
Joint Favorable Substitute
lower
Feb 6, 2025
Committee
REF. TO JOINT COMM. ON Insurance and Real Estate
lower
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.