Mental health & substance abuse disorders; network adequacy standards, comparative analyses.
Summary
Mental health and substance abuse disorders; network adequacy standards; comparative analyses; report; emergency regulations. Directs the Department of Health to issue regulations that include quantitative network adequacy standards for timely access to care, travel time, and geographical distance that are at least as stringent as those imposed for qualified health plans and qualified dental plans. The bill amends the definitions of "mental health services" and "substance abuse services" for the purposes of health insurance coverage. The bill requires health carriers to submit all comparative analyses prepared pursuant to federal law to the Bureau of Insurance on the date and frequency as specified by the Bureau and includes additional information to include in such submission. Under the bill, the Bureau may impose a penalty not to exceed $100,000 for a noncompliant or insufficient comparative analysis or require a carrier to remove, revise, or remedy noncompliant treatment limitations. The bill also amends the contents of the annual report submitted by the Bureau to the General Assembly to cover enforcement efforts with respect to the federal Mental Health Parity and Addiction Equity Act of 2008.The bill authorizes the Bureau to promulgate regulations as necessary to implement the provisions of the bill and directs the Department of Health to adopt emergency regulations to implement the provisions of the bill. The bill directs the Department of Human Resource Management to evaluate the impact of the proposed changes to the provisions of the bill related to health insurance. The provisions of the bill related to health insurance have a delayed effective date of July 1, 2027. This bill is identical to SB 524.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
House of Delegates Passage
Mar 2026
Senate Passage
Mar 2026
Signed into Law
Apr 2026
Introduced Jan 13, 2026
Signed Apr 13, 2026
Maddy AI version diff · 5 comparisons
What changed between versions
Behavioral Health Subcommittee Substitute
→
Education and Health Substitute
·
5 edits
MODERATE
This bill was transferred from the House to the Senate and refined to remove emergency regulation language and clarify data submission rules. It adds a new requirement for the Department of Human Resource Management to evaluate the financial impact of expanded mental health coverage and adjusts reporting deadlines for insurance carriers.
Scope change
The bill's scope remains focused on mental health and substance abuse coverage, but the applicability of certain reporting requirements has been shifted to the Department of Human Resource Management for impact analysis.
TIMELINE
The effective date for new coverage provisions was set to July 1, 2027, and the reporting deadline for insurance carriers was moved to October 1, 2026.
REQUIREMENT
A new requirement mandates the Department of Human Resource Management to evaluate the cost and feasibility of expanded mental health benefits and submit a report by November 1, 2026.
Clarified that insurance carriers must submit comparative analyses to the Bureau of Insurance within the State Corporation Commission by a specific deadline.
Removed a provision requiring the Board of Health to adopt emergency regulations for network adequacy standards.
TECHNICAL
Corrected a typo in the text regarding 'third-party administrator' and updated references to federal regulations.
Floor votes · Senate Mar 9, 2026 · House of Delegates Feb 16, 2026
How they voted
39–0
Passed
Total votes 39
Mar 9, 2026
D
Democratic20
100% Yea
R
Republican19
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
37
Key actions
11
Committee
7
Apr 13, 2026
Signed into law
Approved by Governor-Chapter 652 (Effective - see bill)
executive
Mar 31, 2026
Lower · Passed
Signed by Speaker
lower
Mar 30, 2026
Upper · Passed
Signed by President
upper
Mar 30, 2026
Lower · Passed
Bill text as passed House and Senate (HB656ER)
lower
Mar 10, 2026
Upper · Passed
Passed Senate with substitute Block Vote (40-Y 0-N 0-A)
upper
Mar 9, 2026
Upper · Passed
Passed by for the day Block Vote (Voice Vote)
upper
Mar 6, 2026
Upper · Passed
Reported from Finance and Appropriations (14-Y 0-N)
upper
Feb 26, 2026
Upper · Passed
Reported from Education and Health with substitute and rereferred to Finance and Appropriations (15-Y 0-N)
upper
Feb 17, 2026
Committee
Referred to Committee on Education and Health
upper
Feb 16, 2026
Lower · Passed
Read third time and passed House (95-Y 3-N 0-A)
lower
Feb 10, 2026
Lower · Passed
Reported from Health and Human Services with substitute (21-Y 1-N)
lower
Feb 4, 2026
Lower · Passed
House subcommittee offered
lower
Jan 21, 2026
Committee
Assigned sub: Behavioral Health
lower
Jan 13, 2026
Committee
Referred to Committee on Health and Human Services
lower
1 primary · 8 co-sponsors
Sponsors
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