ConnecticutLaw requires health plans to include pharmacists in covered care networks
The law directs the Insurance Commissioner to study insurance options for state-contracted nonprofits and, starting in 2028, requires health plans to include pharmacists in networks for certain covered care.
What it does
The Insurance Commissioner must study insurance options for state-contracted nonprofits that pool liability policies and prepare a proposed plan and financial analysis, within available appropriations.
The Insurance Commissioner must report findings and recommendations on the nonprofit insurance options to legislative committees, including any funding needed to put a plan in place.
Starting in 2028, health plans and their administrators must include pharmacists in payment networks for services pharmacists are licensed to provide and the plan already covers.
Argument forIncluding pharmacists in payment networks could give patients another way to get covered care from a licensed provider.
Argument againstPlans may set reasonable participation and credentialing rules, which could limit which pharmacists join their networks.
More detail
The Insurance Commissioner must study insurance options and develop a proposed plan and financial analysis. The study concerns nonprofit organizations that contract with the state and pool their liability insurance policies. The commissioner must do this work within available appropriations. This work takes effect upon passage.
The Insurance Commissioner must report the study's findings, proposed plan, financial analysis, and recommendations to legislative committees. The report goes to committees responsible for insurance, finance, appropriations, state agency budgets, and human services. The report must assess funding needed to put a plan in place and support future investment. The report is due by November 1, 2026.
Health carriers, third-party administrators, and pharmacy benefits managers must include pharmacists in reimbursement processes and provider networks for covered clinical services. This applies to health benefits provided, administered, or managed in Connecticut. The service must be within the pharmacist's license and already covered when provided by another licensed health care provider. Plans do not have to cover services they do not otherwise cover. They may set reasonable participation, credentialing, and contracting rules. This section takes effect January 1, 2028.
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Where it stands
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- May 27SIGNED BY Governor Ned LamontBecame Law
- May 15TRANSMITTED BY SECRETARY OF THE STATE TO GOVERNORTo Governor
- May 15TRANSMITTED TO SECRETARY OF THE STATE
- May 14PUBLIC ACT 26-47
- May 6
- Vote recorded Senate Roll Call Vote 358. Result: pass.Upper
- May 5ON CONSENT CALENDAR /IN CONCURRENCE
- May 5SEN. PASSED, HO. AMEND. SCH. APassed Senate
- May 5SEN. ADOPTED HO. AMEND. SCH. AMajor
- Apr 28FILE NO. 736
- Apr 28SENATE CALENDAR NUMBER 467
- Apr 28FAV. RPT., TAB. FOR CAL., SEN.Minor
- Apr 27IMMEDIATE TRANSMITTAL TO THE SENATE
- Vote recorded House Roll Call Vote. Result: pass.Lower
- Vote recorded House Roll Call Vote 110. Result: pass.Lower
- Apr 27HOUSE PASSED, HOUSE AMEND. SCH. APassed House
- Apr 27HOUSE ADOPTED HOUSE AMEND. SCH. AMajor
- Apr 20FILE NO. 683
- Apr 20TABLED FOR HOUSE CALENDARMinor
- Apr 20NEW FILE BY COMM. ON Judiciary
- Apr 20RPTD. OUT OF LCO
- Apr 13REFERRED TO Office of Legislative Research AND Office of Fiscal Analysis 04/20/26Minor
- Apr 10FILED WITH LCOMinor
- Apr 10Joint Favorable SubstituteMinor
- Apr 7REF. BY HOUSE TO COMMITTEE ON Judiciary
- Mar 30FILE NO. 243
- Mar 30HOUSE CALENDAR NUMBER 199
- Mar 30FAV. RPT., TABLED FOR HOUSE CALENDARMinor
- Mar 30RPTD. OUT OF LCO
- Mar 23REFERRED TO Office of Legislative Research AND Office of Fiscal Analysis 03/30/26Minor
- Mar 12FILED WITH LCOMinor
- Mar 12Joint Favorable SubstituteMinor
- Feb 27PUBLIC HEARING 0303
- Feb 26REF. TO JOINT COMM. ON Insurance and Real EstateIntroduced
Healthcare