AN ACT RELATING TO INSURANCE -- INSURANCE COVERAGE FOR MENTAL ILLNESS AND SUBSTANCE USE DISORDERS
HB 5432 prohibits health insurance providers from requiring preauthorization for in-network mental health or substance use disorder services. This directly affects patients seeking these treatments and insurers who must comply with the new rule. The key provision removes a common administrative barrier, allowing patients to access covered in-network care without prior insurer approval. The law takes effect January 1, 2026, and aligns with existing parity requirements for mental health coverage.
Bill status
passed
3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Jun 2025
House Passage
Jun 2025
Senate Passage
Governor
Introduced Feb 12, 2025
Last action Jun 20, 2025
Floor votes · House Jun 18, 2025
How they voted
73–0
Passed · 2 other
Total votes 75
Jun 18, 2025
D
Democratic64
96% Yea
I
Independent1
100% Yea
R
Republican10
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
9
Key actions
2
Committee
3
Jun 20, 2025
Committee
06/20/2025 Referred to Senate Health and Human Services
upper
Jun 18, 2025
Lower · Passed
06/18/2025 House passed Sub A
lower
Jun 16, 2025
Legislature · Passed
06/16/2025 Committee recommends passage of Sub A
legislature
Mar 18, 2025
Committee
03/18/2025 Committee recommended measure be held for further study
legislature
Feb 12, 2025
Introduced
02/12/2025 Introduced, referred to House Health & Human Services
lower
10 primary · 0 co-sponsors
Sponsors
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