Below is the relevant legislation related to parity that has been introduced during the current or recently adjourned legislative session. State parity legislation passed in any state since 2008 is usually designed to increase compliance with the federal law and to strengthen state laws.
Primary Focus: Compliance; Reporting Title/Description: An Act relating to health insurance Citation:SB 1718 Introduced: 2/3/20 Sponsor: Sen. Montgomery Status: Signed by Governor Summary: This bill 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 bill 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.”
HB 1336 Introduced: 2/2015 Sponsor: Rep Lockhart Status: Dead 2/2015 Summary: This bill tries to change the state insurance law by adding a subsection about autism coverage. Individual plans, small employer fully-insured plans, and large employer fully-insured plans would be required to cover:
$50,000 annual maximum for “behavioral therapy” for 3 years; therapy can continue beyond 3 years if child’s provider submits report every 6 months showing that child is making progress
Financial requirements are the same as those used for other medical services
Insurance plan can only review a child’s treatment plan once every 6 months
Autism spectrum disorder is defined as autistic disorder, asperger’s syndrome, and pervasive developmental disorder
HB 1495 Introduced: 2/2009 Sponsor: Rep. Collins Status: Dead 2/2009 Summary: This bill tried to change a section of the state insurance law about parity so that post-traumatic stress disorder would be a covered condition.
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