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HB 5374

AN ACT CONCERNING HEALTH COVERAGE MANDATES FOR CERTAIN HEALTH CONDITIONS.

2026 Regular Session Introduced by Raghib Allie-Brennan and 51 co-sponsors

Connecticut bill requiring health insurers to mandate coverage for specified conditions, potentially increasing premiums while expanding patient access to treatments.

SIGNED BY GOVERNOR
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Bill Summary · HB 5374

Legislative bill overview

HB 5374 requires health insurance plans to include coverage mandates for specified health conditions in Connecticut. The bill, introduced by Representatives DeGraw, Luxenberg, and Sweet, is currently in the Joint Committee on Insurance and Real Estate following a public hearing on February 27, 2026.

Why is this important

Insurance coverage mandates directly affect what treatments and services patients can access without prohibitive out-of-pocket costs, influencing healthcare affordability and outcomes. These mandates also increase insurance premiums, as insurers pass compliance costs to policyholders, creating a trade-off between comprehensive coverage and insurance affordability.

Potential points of contention

  • Cost implications: Mandates increase insurer expenses, potentially raising premiums for all Connecticut residents, affecting individuals who don't need the newly covered services
  • Which conditions qualify: Determining which health conditions warrant mandatory coverage involves contentious debates about medical necessity, prevalence, and advocacy group influence
  • Federal vs. state authority: Questions about whether Connecticut should impose its own mandates or defer to federal healthcare standards and existing state/federal insurance regulations

Compiled from official sources — confirm details with the bill’s official record.

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