AN ACT CONCERNING COVERAGE FOR MEDICALLY NECESSARY TREATMENT IN THIS STATE.

HB 6147 requires health insurance carriers in Connecticut to align coverage decisions with current evidence-based medical standards and be transparent about how they review claims. It mandates coverage for life-saving treatments recommended by licensed specialists, unless medical evidence justifies denial, and sets strict timelines: non-urgent coverage requests must be resolved within 10 business days, and urgent requests within 48 hours. This bill directly affects health insurance companies and policyholders seeking medically necessary care, particularly for critical treatments. The law aims to reduce coverage denials for evidence-supported care by standardizing review processes and increasing accountability.