Relating to behavioral health.
Summary
] Imposes requirements and restrictions on insurer and coordinated care organization audits of claims for reimbursement submitted by behavioral health treatment providers. Becomes operative on January 1, 2027. Adds information that certain carriers must annually report to the Department of Consumer and Business Services regarding compliance with behavioral health parity requirements. [ Takes effect on the 91st day following adjournment sine die. ].
Bill status
passed
3 of 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
House Passage
Feb 2026
Senate Passage
Governor
Introduced Feb 2, 2026
Last action Mar 7, 2026
Maddy AI version diff · 1 comparison
What changed between versions
Introduced
→
A-Engrossed
·
4 edits
·
Feb 19, 2026
MODERATE
This bill was amended to remove the effective date from the summary section and to update the list of sponsors, while the core text of the bill itself remains substantively unchanged. The legislative text governing behavioral health insurance audits and reporting requirements has not been modified.
TECHNICAL
The bill's sponsor list was updated to reflect additional Representatives (RIEKE, WALTERS) and remove SKARLATOS from the original list.
The summary section was edited to remove the statement that the Act takes effect 91 days after the session ends, though this text remains in the bill's body within brackets.
The digest in the summary was edited to remove the Flesch Readability Score and the effective date statement, with the removed text placed in brackets to indicate it was deleted from the summary but remains in the bill.
The bill header was updated from 'HB 4028' to 'A-Eng. HB 4028' to reflect its current legislative status.
Floor votes · House Feb 19, 2026
How they voted
41–1
Passed · 17 other
Total votes 59
Feb 19, 2026
D
Democratic37
91% Yea
R
Republican22
31% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
12
Key actions
3
Committee
5
Mar 7, 2026
Upper · Passed
In committee upon adjournment.
upper
Feb 19, 2026
Committee
Referred to Health Care.
upper
Feb 19, 2026
Introduced
First reading. Referred to President's desk.
upper
Feb 19, 2026
Lower · Passed
Third reading. Carried by Harbick. Passed.
lower
Feb 16, 2026
Committee
Subsequent referral to Ways and Means rescinded by order of the Speaker.
lower
Feb 16, 2026
Lower · Passed
Recommendation: Do pass with amendments, be printed A-Engrossed, and subsequent referral to Ways and Means be rescinded.
lower
Feb 2, 2026
Committee
Referred to Behavioral Health with subsequent referral to Ways and Means.
lower
Feb 2, 2026
Introduced
First reading. Referred to Speaker's desk.
lower
2 primary · 9 co-sponsors
Sponsors
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