Mandated Health Benefits – Prior Authorization for the Interhospital Transfer of Certain Newborn Infants and Their Mothers

On June 6, 2016, Connecticut Governor Dannel Malloy signed legislation (S.B. 160) that prohibits health insurance carriers from requiring preauthorization for an inter-hospital transfer of:

  • A newborn infant with a life-threatening emergency or condition; or
  • The infant’s hospitalized mother to accompany him or her.

The law applies to insurers, health care centers (i.e., HMOs), hospital service corporations, medical service corporations, or other entities delivering, issuing, renewing, amending, or continuing individual or group health insurance policies in Connecticut that cover:

  • Basic hospital expenses.
  • Basic medical-surgical expenses.
  • Major medical expenses.
  • Hospital or medical services, including those provided under an HMO plan.
  • Limited benefits.
  • Accidents only.

The law does not apply to self-insured benefit plans.

The law goes to January 1, 2017.

Read CT S.B. 160