Health insurance; requiring coverage of medically necessary treatment of mental health and substance use disorders; prohibiting certain limitations; establishing certain utilization review requirements. Effective date.
What changed between versions
Updated the bill title from a generic description to specifically reference mental health and substance use disorders, benefits, coverage, utilization review, and policy rules.
Added eight new definitions including 'core treatment', 'generally accepted standards of care', 'health benefit plan', 'medically necessary treatment', 'mental health and substance use disorder', 'nonprofit health care provider professional association', 'utilization review', and 'utilization review criteria'.
Added requirements that health benefit plans must provide coverage for medically necessary mental health and substance use disorder treatment consistent with nationally recognized clinical specialty association guidelines.
Added prohibition on limiting chronic or pervasive mental health and substance use disorder coverage to short-term or acute treatment levels.
Added protection against health benefit plans rescinding or modifying authorization or payment after a provider renders services in good faith pursuant to authorization.
