prepared by the Connecticut Judicial Branch law librarians:
OLR Research Reports - Office of Legislative Research:
Pharmacy Benefit Managers and Formularies - 2017-R-0009
This report addresses questions relating to pharmacy benefit managers and
Switching of Medications - 2017-R-0008
You asked several questions about non-medical switching of prescription
medication, which are answered below.
State-Mandated Health Insurance Benefits - 2016-R-0254
List and briefly describe Connecticut’s mandated health insurance benefits.
(This report updates OLR Report
incorporating laws enacted in 2016.)
See OLR Report
for a list of health care providers and facilities whose services health
insurance policies and HMO contracts must cover under state law.
discussion of when the state must defray the cost of health insurance benefit
mandates under the federal Patient Protection and Affordable Care Act (ACA), see
Seven-day Limit on Opioid Prescriptions - 2016-R-0232
Describe Connecticut’s law limiting the prescription of opioid drugs to seven
days, including any exceptions to this limitation.
Does state law allow a physician licensed in another state to administer
cosmetic neurotoxins (i.e., botox) in a Connecticut resident’s home?
Breast Screening Insurance Coverage Requirement - 2016-R-0201
Describe Connecticut’s breast screening insurance coverage law and briefly
summarize any changes to it.
Insurance in Connecticut - 2016-R-0144
Explain disability insurance, including benefit and elimination periods.
Describe the major laws and regulations governing disability insurance in
Connecticut. Explain how disability insurance in Connecticut differs from
workers’ compensation insurance.
Illegal Act and
Drug and Alcohol Exclusions in Health Insurance Policies - 2016-R-0138
Explain illegal act and drug and alcohol exclusions in insurance policies in
Connecticut and other states.
Transparency Questions - 2016-R-0116
Health insurance disclosure issues and related questions.
Husky B and Husky
Plus - 2016-R-0089
Provide an overview of HUSKY B and HUSKY PLUS Physical health coverage.
Information Disclosure - 2016-R-0050
Describe the laws that limit the circumstances in which health care providers
may release a patient's personal health information.
Sharing - 2016-R-0007
Does Federal law prohibit States from imposing cost sharing requirements on
and Behavioral Health Legislation - 2016-R-0002
This report provides a brief summary of mental and behavioral health legislation
enacted by the Connecticut legislature between 2013 and 2015.
Family and Medical Leave Act - 2015-R-0308
This report describes the state's Family and Medical
Leave Act (CGS Sec. 31-51kk through 31-51qq) for
Access to Medicaid
Services - 2015- R-0291
This report summarizes a new federal rule on access
to Medicaid services (80 FR 67575).
Backgrounder: Health Insurance Provider and Facility Mandates
health insurance provider and facility mandates. This report updates OLR
the Affordable Care Act - 2015-R-0216
What changes did the federal Affordable Care Act make to the Medicaid
Employee Vaccinations - 2015-R-0224
Does state law require health care employees to be vaccinated against
the flu or other conditions, and have there been recent bills on this
Backgrounder: Medicaid Eligibility
This report describes Medicaid eligibility in
Connecticut and discusses recent changes. It updates
on Breast Cancer Screening and Coverage - 2015-R-0210
This report summarizes Connecticut statutes on (1) health insurance
coverage for breast cancer screening and (2) other breast cancer-related
Insurance Benefit Mandates - 2015-R-0188
When are states required to defray the cost of health insurance benefits
(i.e., benefits required by state law) under the Federal Patient Protection
and Affordable Care Act( ACA)?
This report answers several questions about short-term care insurance in
Connecticut. The specific questions and answers follow.
Copayments and Deductibles on Medicaid and Health Insurance Plans
This report provides information on copayments and deductibles for (1)
Medicaid, (2) state employee medical plans, and (3) other private health
insurance plans. It also includes general income limits for eligibility for
Connecticut's Medicaid-funded health care programs.
Obstructive Pulmonary Disease - 2015-R-0127
This report answers a series of questions on Chronic Obstructive Pulmonary
Disease (COPD) that address (1) screening and diagnostic methods, (2) its
prevalence and associated health care costs in Connecticut, and (3) local
and national advocacy organizations.
Exemptions from Childhood Immunization Requirements
- 2015-R-0088- This report provides an overview of laws
on nonmedical exemptions to childhood immunization requirements.
2013 and 2014
Legislation Affecting Access to Mental Health Services-
2014-R-0150- What significant legislation was enacted
this year and last year concerning access to mental health services?
Backgrounder: State-Mandated Health Insurance Benefits
This report briefly describes Connecticut's
mandated health insurance benefits. It updates an earlier report (2012-R-0446)
by incorporating laws enacted in 2013 and 2014. (See OLR Report
a list of health care providers and facilities whose services health
insurance policies must cover under state law.)
Chronic Care in
Medicaid and Public Health-
2014-R-0031-This report addresses several
questions on programs targeting frequent use of the emergency department
(ED) by Medicaid beneficiaries, as well as questions on chronic disease
programs and related legislation. The specific questions and answers follow.
Affordable Care Act - Questions and Answers
This report presents a series of questions
and answers about the federal Patient Protection and Affordable Care Act
(ACA) (P.L. 111-148), as amended.
For a more detailed overview of the
law's private health insurance provisions, see OLR Research Report
Regulation in Connecticut
You asked for a brief summary of how
Connecticut's acute care hospitals are regulated. You also wanted to know
what actions nonprofit acute care hospitals must take to maintain their
501(c)(3) tax-exempt status.
Disclosure of Deceased Person's Medical Records
You asked (1) whether patient confidentiality rights
continue after death and (2) if so, could the legislature change this?
Duty of Mental
Health Professionals To Warn Of Potentially Violent Conduct by Patients
You asked us to update OLR report 2010-R-0024 on the duty of mental
health professionals to warn of potentially violent conduct by patients.
Patient Access to Medical Records -
2012-R-0510 - This report updates OLR Report
summarizes state laws on patient access to medical records in a question and
answer format. (The terms medical records and health records¯ are used
interchangeably reflecting their usage in statute.)
Right to Die Laws -
2012-R-0477 - You asked about laws or legislation in other states concerning
the right to die. You also asked about Connecticut bills on this
Backgrounder: State-Mandated Health Insurance Benefits
This report lists and briefly describes Connecticut's mandated health
insurance benefits. It updates an earlier report (2011-R-0504)
by incorporating revisions enacted in 2012. (See OLR Report
for a list of health care providers and facilities whose services health
insurance policies must cover under Connecticut law.).
Grouping for Health Insurance Coverage - 2011-R-0363
You asked if Connecticut law permits small employers to group
together solely to secure health insurance coverage. If yes, you want a
legislative history of the law allowing this grouping.
Medicare Part D
- Explanation of State and Federal Assistance For Program Beneficiaries
The following is an explanation of the relationship between the
federal Medicare Part D drug benefit, the Part D Low-Income Subsidy
program, the ConnPACE program, and the Medicare Savings Program in light
of changes the legislature has made in the latter two programs in the
last few years.
Process for Health Insurance Rate Increases - 2010-R-0507
You asked (1) how an insurance company gets an approved rate increase
in Connecticut for individual and group health insurance, (2) if there
is a public hearing on such a proposed rate increase, and (3) if either
the healthcare advocate or attorney general plays a role in the process.
State Mandated Health Insurance Benefits
You asked for an update of OLR Research Report
which provides a list of state mandated health insurance benefits.
Health Insurance Coverage for Cancer Pills
You asked if Connecticut law requires health insurance policies to
provide coverage for oral medication to treat cancer and, if not, if a
law could be passed to require such coverage. You provided an article
from The New York Times that discussed the coverage issue as stemming
from the difference in cost between receiving cancer medications
intravenously versus orally in pill form (Insurance Laws as Cancer Care
Comes in a Pill, April 15, 2009).
Medicaid Coverage of Assisted Living
Services - 2009-R-0300
You asked (1) if Medicaid coverage is available to someone living in a
private assisted living facility and (2) what the legislature could do
to help seniors who exhaust their own resources remain in these
facilities instead of being forced to move into more restrictive
settings. You have a constituent living in a private Alzheimer's
assisted living facility who can no longer pay for his care and was told
he must transfer to a nursing home in order to receive Medicaid
You asked for information regarding federal and state safeguards
preventing the medical industry from using patients' social security
numbers (SSNs) inappropriately, particularly the security standards, the
penalties for security breaches, and efforts to curb the use of SSNs.
Living Wills and Health Care Representatives
You asked how Connecticut's living will and health care representative
laws compare with other states, especially regarding the situations a
living will covers.
Setting Rates For An Individual Health Insurance Policy
You asked how an insurance company sets
rates for an individual high deductible health plan, a federally tax
qualified plan compatible with a health savings account. Specifically, you
wanted to know if an individual is considered part of a group for rating
Patient Access to Medical Records - 2006-R-0599
Prison Health Care
from the Connecticut Attorney General's Office:
Pamphlet from the Connecticut Insurance
Pamphlets from the Connecticut Office of Protection and Advocacy for Person with
Pamphlets from CTElderLaw.org:
Government Benefits (Social Security, Energy Assistance, Food Stamps)
Government Health Care and Benefit Programs Index
(Medicare & Medicaid)
the Connecticut Center for a New Economy:
the Connecticut Office of Health Care Access:
from the Connecticut Insurance Department:
from the Connecticut Office of the
Understanding Your Managed Health Care Plan
Know Your Rights (Managed Care)
from the Connecticut Network for Legal Aid:
the United Way of Connecticut:
The Judicial Branch law libraries hold a number of
items which may be of help to a person researching health care law. The Subject
Headings below are recommended, and can be entered as subject searches using our
It is also recommended that you
for availability of materials.
Medical Care - Law and Legislation
Medical Records - Law and Legislation
Hospitals - Law and Legislation
Connecticut General Statutes
TITLE 17a, CHAPTER
319i, PART III - PATIENTS RIGHTS, (Persons with Psychiatric Disabilities; Also known as
the Patients' Bill of Rights)
TITLE 19a - PUBLIC HEALTH AND WELL-BEING
TITLE 20, CHAPTER 369 - HEALING ARTS
medical records. Mandatory notification to patient of certain test results.
access requirements for health care providers, including maximum cost per
page that the provider can charge)
patient's medical records to another provider.
Medical records maintained by agencies.
Unfair billing practices.
TITLE 38a, CHAPTER 698a - HEALTH CARE AND RELATED SERVICE GROUPS
TITLE 38a, CHAPTER 700c - HEALTH INSURANCE
that the statutory sections that list the mandatory coverage requirements (e.g.
prostate cancer screenings,
infertility treatments, etc.) for individual health insurance policies can
be found in Chapter 700c of the statutes.)
TITLE 38a, CHAPTER 705 - CONNECTICUT INSURANCE INFORMATION AND
PRIVACY PROTECTION ACT
TITLE 46b, CHAPTER 815j - DISSOLUTION OF MARRIAGE, LEGAL
SEPARATION AND ANNULMENT
Sec. 46b-84. Parents'
obligation for maintenance of minor child. Order for health insurance
Sec. 46b-56. Orders re
custody, care - Access to records of minor child by noncustodial parent
not granted custody of a minor child shall not be denied the right of access
to the academic, medical, hospital or other health records of such minor
child, unless otherwise ordered by the court for good cause shown."
Sec. 46b-88. National Medical Support
Notice. Duties of issuing agency, employer and administrator of group health
Connecticut Department of Public Health