HB 5354 limits how Connecticut can audit Medicaid pharmacies by prohibiting the use of data extrapolation for minor clerical errors in audits. It requires the state to confirm notices to pharmacies about billing and maintain a real-time database of approved drugs on the preferred drug list. Pharmacies can challenge disputed reimbursements through a new grievance process starting October 2026, allowing them to present cost evidence. The bill directly affects pharmacies participating in Connecticut's Medicaid program and takes effect July 1, 2026.
HB 5374 requires individual health insurance policies in Connecticut that cover chemotherapy to also provide coverage for scalp cooling systems used to prevent hair loss during treatment. This applies to policies delivered, renewed, or continued on or after January 1, 2027, and mandates coverage "at least equivalent to such coverage provided under Medicare." The bill specifically targets policies covering certain chemotherapy-related treatments, directly affecting patients receiving chemotherapy who may use scalp cooling systems. It does not apply to group plans or other insurance types, focusing solely on individual health insurance policies meeting the specified coverage criteria.
This bill updates motor vehicle and medical licensing laws to improve accessibility and professional training. It requires disability parking placards to display expiration dates prominently in boldface and establishes an advisory council to prevent fraud while protecting disabled individuals. The council will develop educational materials and review best practices for placard use and parking access. Additionally, the bill mandates that physicians include specific training topics like cultural competency and risk management in their continuing medical education requirements. These changes aim to enhance system integrity and improve healthcare standards without altering existing rights for qualified individuals.
This bill updates Connecticut school health regulations to allow trained school personnel to administer opioid overdose reversal medication to students experiencing an opioid-related overdose without prior written authorization. The legislation requires the State Board of Education to establish specific conditions and procedures for storing and administering these medications, similar to existing rules for epinephrine in allergic reaction emergencies. School staff must complete annual training to administer the medication, and the rules apply to both intramural and interscholastic athletics settings. The changes take effect on July 1, 2026, and aim to ensure students have access to life-saving treatment during opioid overdoses at school.
HB 5375 transfers public health program funding from the Insurance Fund to the General Fund over five years (starting July 1, 2026), replacing the previous fee structure. It requires domestic insurers and health care centers providing specific health insurance types to pay an annual public health fee based on their enrolled lives in Connecticut, calculated to fund designated programs. These programs include syringe services, AIDS services, breast/cervical cancer detection, tuberculosis care, and children's health initiatives. The fee amount is determined annually by the Insurance Commissioner using a formula based on the total funding needed and the reported number of covered lives. The bill repeals the existing fee statute (Section 19a-7p) and establishes new reporting and payment requirements for insurers.
HB 5377 modifies health insurance billing rules to protect providers and improve transparency. It shortens the timeframe insurers can demand repayment for claims from 18 to 15 months after a clean claim is submitted (except for fraud, billing errors, duplicate payments, or federal program overlaps), requires insurers to provide 30 days' notice and an electronic appeal process for repayment demands, and mandates off-site hospital facilities to submit their unique national provider identifier (NPI) and tax ID on all claims. These changes directly affect health insurers, healthcare providers, and off-site hospital facilities, ensuring clearer billing requirements and reducing disputes over claim payments. The bill takes effect October 1, 2026, for the NPI requirement and January 1, 2027, for the repayment timeline changes.
SB 123 requires assisted living facilities to hold public informational hearings when increasing resident fees by more than 10% of the previous fee. Facilities must provide at least 30 days' notice before the hearing and allow residents, families, and the public to comment. This applies to all fee increases exceeding 10% (effective October 1, 2026), while exempting adjustments tied to immediate care changes or safety needs. The bill also mandates 60-day advance disclosure of all fee increases and provides residents with three years of fee history upon request. It directly affects assisted living agencies and their residents by adding transparency to significant cost changes.
This bill establishes an Office of the Correction Ombuds within the Office of Governmental Accountability to oversee health care and other services for incarcerated individuals in the Department of Correction. The Ombuds will have the authority to evaluate service delivery, conduct unannounced facility visits, review nonemergency procedures, and receive complaints from incarcerated people through free telephone calls and email. The office will also publish semiannual reports on its activities and has the power to recommend policy changes while remaining independent from departmental control.
This bill directs state officials to establish working groups focused on eating disorder treatment and food insecurity, requiring them to compile public resources and develop best practice guidelines by July 2026. It also mandates a feasibility study for a new inpatient psychiatric facility serving children and young adults with intellectual or developmental disabilities, with results due by January 2027. Additionally, the bill increases Temporary Family Assistance benefits to at least 55% of the federal poverty level and requires annual cost-of-living adjustments tied to consumer price index increases when funding lapses.
This bill creates a dedicated state fund called the "health care facility durable medical equipment account" to provide grants for healthcare facilities. It appropriates $1 million from the General Fund for fiscal year 2027 to help facilities purchase equipment like wheelchairs, hospital beds, and patient lifts for elderly patients or people with disabilities. The Department of Public Health will manage the fund and issue grants, deducting no more than 2% of the account balance annually for administrative costs. The account will hold ongoing state appropriations, gifts, and investment earnings, with funds available starting July 1, 2026.