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Connecticut mandates insurance coverage for scalp cooling therapy

2 hours ago
Connecticut mandates insurance coverage for scalp cooling therapy

Connecticut has enacted a law requiring insurance coverage for provider-delivered scalp cooling therapy starting Jan. 1, 2027, expanding access for cancer patients seeking to reduce chemotherapy-related hair loss. The move makes Connecticut the fifth state to adopt statewide coverage as similar bills advance in other states.

Why it matters: - Connecticut’s new coverage mandate could lower out-of-pocket costs for cancer patients who want scalp cooling therapy during chemotherapy. - The law expands access to a treatment used to help reduce hair loss, a side effect that can carry emotional and psychological burdens. - Connecticut is now the fifth state with statewide insurance coverage for scalp cooling therapy, signaling broader policy momentum.

What happened: - Connecticut enacted House Bill 5374 on May 28, 2026. - Gov. Ned Lamont signed the bill into law. - The law requires insurance coverage for provider-delivered scalp cooling therapy beginning Jan. 1, 2027. - Connecticut joins New York, Louisiana, Maryland and West Virginia in requiring statewide coverage.

The details: - Scalp cooling is an FDA-cleared treatment used during chemotherapy to help reduce hair loss. - The treatment is available in more than 900 cancer centers across the United States. - The National Comprehensive Cancer Network® lists scalp cooling as a Category 2A recommendation. - In January 2026, three CPT® Category I codes for scalp cooling took effect. - The new codes created a standardized reporting and reimbursement pathway for provider-delivered scalp cooling services. - That billing structure supports broader adoption of insurance-based reimbursement across oncology practices. - Connecticut’s action follows earlier legislative wins this year in Maryland and West Virginia. - Similar legislation remains under consideration this session in California, New Jersey, Ohio, Pennsylvania and Rhode Island.

Between the lines: - The Connecticut law reflects a wider shift in cancer care policy toward managing treatment side effects, not only treating the disease itself. - Gov. Lamont backed the bill in testimony, citing the emotional toll of chemotherapy-related hair loss and the value of preserving hair during treatment. - The combination of state mandates and new billing codes could make scalp cooling easier to access and easier to reimburse. - Richard Paxman, chief executive officer of Paxman, said the legislation recognizes that cancer care affects more than the disease and expands access to a treatment that can help preserve normalcy and confidence during chemotherapy.

What’s next: - Insurance coverage in Connecticut is set to begin Jan. 1, 2027. - Advocates and industry stakeholders are expected to keep pushing similar coverage bills in other states this legislative session. - Paxman says it will continue working with legislators, patient advocates and clinicians to expand access and reduce financial barriers.

The bottom line: - Connecticut’s new law adds momentum to a growing state-by-state effort to make scalp cooling a more routine and affordable part of cancer care.

Disclaimer: This article was produced by AGP Wire with the assistance of artificial intelligence based on original source content and has been refined to improve clarity, structure, and readability. This content is provided on an “as is” basis. While care has been taken in its preparation, it may contain inaccuracies or omissions, and readers should consult the original source and independently verify key information where appropriate. This content is for informational purposes only and does not constitute legal, financial, investment, or other professional advice.

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