Primary Focus: Compliance; Reporting Title/Description: An Act relating to health insurance Citation:O.S. §§ 6060-10 — 6060-13 Summary: This law requires all in-state health plans to comply with the 2008 federal Mental Health Parity and Addiction Equity Act. Specific provisions include removing exclusion of small employers from the requirement to provide mental health/substance use disorder benefits, and prohibiting health benefit plans from imposing stricter non-quantitative limitations on mental health and substance use disorder benefits than physical benefits. The law also requires insurance companies that offer mental health or substance use disorder plans to submit annual reports demonstrating compliance with the 2008 Mental Health Parity and Addiction Equity Act, including an analysis for each non-quantitative treatment limitation in each classification of care consistent with the six-step process. Reporting will begin April 1, 2021 and the department will make reports public starting June 1, 2021. The bill also clarifies mental health and substance use disorders to refer to all conditions listed under appropriate diagnostic guides, expanding the definition beyond the previously used “serious mental illness.” Effective Date: 11/1/20 Notes: N/A
Primary Focus: Mandated Benefit; Provider Title/Description: Coverage of Autism Spectrum Disorders Citation:Okla. Stat. 36 § 6060.21 Summary: A health benefit plan and the Oklahoma Employees Health Insurance Plan must provide coverage for the screening, diagnosis and treatment of autism spectrum disorder in individuals less than nine (9) years of age, or if an individual is not diagnosed or treated until after three (3) years of age, coverage shall be provided for at least six (6) years, provided that the individual continually and consistently shows sufficient progress and improvement as determined by the health care provider. Additionally, no insurer can terminate coverage, or refuse to deliver, execute, issue, amend, adjust or renew coverage to an individual solely because the individual is diagnosed with or has received treatment for an autism spectrum disorder. Effective Date: November 1, 2016 Notes: Enacted by OK. HB 2962.
Primary Focus: Mandated Benefit; Provider & Parity Title/Description: Insurance Plans to Include Treatment of Severe Mental Illness Citation:Okla. Stat. 36 § 6060.11 Summary: Any health benefit plan that is offered, issued, or renewed on or after the effective date of this act shall provide benefits for treatment of severe mental illness. Treatment limitations applicable to mental health or substance abuse disorder benefits shall be no more restrictive than the predominant treatment limitations applied to substantially all medical and surgical benefits covered by the plan. There shall be no separate treatment limitations that are applicable only with respect to mental health or substance abuse disorder benefits. Effective Date: May 10, 2010 Notes: Amended by OK. SB 2054.
Oklahoma Parity Law
There are several sections of the state insurance law about parity.This section contains relevant definitions for the subsequent sections.
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