AN ACT REQUIRING A STUDY OF HEALTH CARRIER COVERAGE GUIDELINES, UTILIZATION REVIEW AND COVERAGE FOR LIFE-SAVING MEDICAL TREATMENT OR SERVICES.

HB 7040 requires Connecticut's Insurance Commissioner to conduct a study comparing the state's health coverage guidelines with other states, examining transparency in health insurers' utilization review processes, and reviewing mandates for coverage of life-saving treatments (unless medical evidence justifies denial). The study will assess whether current policies align with evidence-based standards and explore potential revisions to review timelines. The Insurance Department must complete the study and submit findings to the legislature by February 1, 2026, at an estimated one-time cost of $200,000-$300,000. This bill does not change existing coverage requirements but directs a review of current practices.