Compliance with coverage parity requirements.
Summary
Requires an insurer that issues a policy of accident and sickness insurance or a health maintenance organization contract that provides coverage of services for treatment of a mental illness or substance abuse to annually submit a report and analysis to the department of insurance (department) that includes certain information demonstrating its compliance with federal laws regarding parity in coverage of services for treatment of a mental illness or substance abuse and coverage of services for treatment of other medical or surgical conditions, including the processes used: (1) to develop medical necessity criteria for coverage of services; and (2) to develop and apply nonquantitative treatment limitations. Requires an insurer that issues a policy of accident and sickness insurance or a health maintenance organization contract that provides coverage for services for treatment of substance abuse to take certain actions with respect to prescription drugs approved for the treatment of substance abuse. Requires the department to adopt rules to ensure compliance with federal laws regarding parity in coverage. Requires the department to submit before March 1, 2021, a report to the general assembly detailing the steps taken to ensure insurers' compliance with state and federal laws regarding parity in coverage.
Bill status
passed
3 of 5 stages cleared
Introduction
Jan 2020
Committee Review
Feb 2020
Senate Passage
Feb 2020
House Passage
Governor
Introduced Jan 6, 2020
Last action Feb 10, 2020
Floor votes · Senate Feb 4, 2020
How they voted
38–1
Passed · 2 other
Total votes 41
Feb 4, 2020
D
Democratic8
75% Yea
R
Republican33
96% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
12
Key actions
2
Committee
2
Feb 5, 2020
Committee
Referred to the House
upper
Feb 4, 2020
Senate · Passed
Senate Vote: pass (38-1-2)
senate
Jan 30, 2020
Upper · Passed
Committee report: do pass, adopted
upper
3 primary · 2 co-sponsors
Sponsors
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