Sec. 19a-7c. Subsidized nongroup health insurance product for pregnant women.
Sec. 19a-7c. Subsidized nongroup health insurance product for pregnant
women. (a) The Commissioner of Public Health, in consultation with the Department
of Social Services, may contract, within available appropriations, to provide a subsidized
nongroup health insurance product for pregnant women who are not eligible for Medicaid and have incomes under two hundred fifty per cent of the federal poverty level.
The product shall be available to such pregnant women (1) for whom employer-based
insurance is not available or (2) who have employer-based insurance (A) to cover the
cost of the premiums, copayments and deductibles of the employer-based plan provided
the cost of the employer-based plan is less than the nongroup product and (B) to provide
coverage for benefits not covered by the employer-based plan which are covered under
the subsidized nongroup product. The Department of Public Health may make such
product available to limited populations, as pilot programs, initially to test the impact
of program design and administration. The Department of Social Services shall assist
in the administration of the programs. The contract may include, but not be limited to,
provisions for coinsurance and copayment and a sliding scale based on income for
premiums and shall provide for the use of mechanisms to control costs.
(b) The contract for pregnant women shall include coverage for: (1) Physician visits
for diagnosis and treatment; (2) prenatal and postnatal care; and (3) outpatient hospital
care; and may include coverage for: (A) Labor and delivery; (B) laboratory and diagnostic tests; (C) prescription drugs; (D) physical therapy; (E) mental health and substance
abuse visits; and (F) inpatient care, including mental health and substance abuse treatment, subject to eighty per cent coinsurance on the first two thousand five hundred
dollars of expenses.
(c) The commissioner shall establish an outreach program to ensure that eligible
persons are aware of the health insurance available pursuant to this section.
(d) The commissioner may adopt regulations, in accordance with the provisions of
chapter 54, for purposes of this section.
(P.A. 90-134, S. 7, 28; June Sp. Sess. 91-11, S. 17, 25; P.A. 93-262, S. 1, 87; 93-381, S. 9, 39; P.A. 95-205, S. 1, 2;
95-257, S. 12, 21, 58; P.A. 96-187, S. 1, 2; June 18 Sp. Sess. P.A. 97-2, S. 90, 165; P.A. 98-8, S. 4, 5.)
History: June Sp. Sess. P.A. 91-11 amended Subsec. (a) to require consultation with the department of income maintenance to contract for health insurance and to permit the department to offer products as pilot programs, amended Subsec.
(b) and added Subsec. (c) to list separate specifications for a children's insurance product and a pregnant woman's product,
and made technical changes; P.A. 93-262 authorized substitution of commissioner and department of social services
for commissioner and department of income maintenance, effective July 1, 1993; P.A. 93-381 replaced department and
commissioner of health services with department and commissioner of public health and addiction services, effective July
1, 1993; P.A. 95-205 amended Subsec. (a) to require extension of the program to currently enrolled children up to age 17,
effective July 1, 1995; P.A. 95-257 replaced Commissioner and Department of Public Health and Addiction Services with
Commissioner and Department of Public Health, effective July 1, 1995; P.A. 96-187 amended Subsec. (a) to specify that
eligibility applied to children enrolled as of December 31, 1994, effective May 31, 1996; June 18 Sp. Sess. P.A. 97-2
amended Subsec. (a) to make a technical change, effective July 1, 1997; P.A. 98-8 eliminated all references throughout
the section to the provision of a subsidized nongroup health insurance product for children under 18 years of age who are
not eligible for medical assistance and whose families have incomes under 200% of the federal poverty level and relettered
the remaining Subsecs. accordingly, effective April 7, 1998.