An Act relative to dual diagnosis treatment coverage

This bill (SD 947) requires health insurance plans to cover specific addiction and mental health treatments without preauthorization. It defines "acute treatment," "clinical stabilization," and "co-occurring treatment" services as 24-hour inpatient care for substance use and mental health conditions, with a 14-day maximum coverage limit. The law applies to state employee health plans (Section 1), Medicaid programs (Section 2), and private insurance policies meeting "creditable coverage" standards (Section 3), mandating coverage for these services while requiring facilities to notify insurers within 48 hours of admission. Utilization reviews can begin after day 7 of treatment. The policy change directly affects individuals seeking these treatments through these specific insurance programs.