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Connecticut mandates biomarker testing coverage under new healthcare legislation

March 18, 2025 | House Bills, Introduced Bills, 2025 Bills, Connecticut Legislation Bills, Connecticut


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Connecticut mandates biomarker testing coverage under new healthcare legislation
Connecticut's House Bill 6771, introduced on March 18, 2025, aims to enhance healthcare access by mandating insurance coverage for biomarker testing. This legislation is designed to improve diagnosis, treatment, and management of diseases by ensuring that health insurance policies cover biomarker tests deemed clinically useful based on robust medical evidence.

Key provisions of the bill require that all health insurance policies issued or renewed in Connecticut after January 1, 2026, include coverage for biomarker testing. This testing must be supported by evidence such as FDA approvals, Medicare coverage determinations, or nationally recognized clinical practice guidelines. The bill emphasizes minimizing disruptions in patient care, aiming to reduce the need for multiple biopsies or samples.

The introduction of House Bill 6771 has sparked notable discussions among lawmakers and healthcare advocates. Proponents argue that the bill will lead to better patient outcomes by facilitating timely and accurate diagnoses, while critics express concerns about potential increases in insurance premiums and the financial burden on insurers. Amendments to the bill have been proposed to address these concerns, focusing on cost management and ensuring that the testing is both necessary and beneficial.

The implications of this legislation are significant. By mandating coverage for biomarker testing, Connecticut positions itself at the forefront of personalized medicine, potentially improving health outcomes for patients with complex conditions. Experts suggest that this could lead to a shift in how healthcare is delivered, emphasizing evidence-based practices and tailored treatment plans.

As the bill progresses through the legislative process, its future will depend on balancing the needs of patients, healthcare providers, and insurers. If passed, House Bill 6771 could serve as a model for other states looking to enhance healthcare access and quality through innovative legislative measures.

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This article is based on a bill currently being presented in the state government—explore the full text of the bill for a deeper understanding and compare it to the constitution

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Scribe from Workplace AI
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