Requires health carriers to file mental health parity compliance certification; makes carrier compliance with parity public; authorizes civil penalties, late fees on carriers.
Prohibits carriers requiring step therapy for drugs used for multiple sclerosis, rheumatoid arthritis; removes sunsetting date for drugs used for certain conditions.
Allows insurance commissioner to reduce a carrier's individual or small employer group rates by up to 2% if carrier average approved rate increase exceeds a certain amount.
Imposing unilateral arbitrary limitations on reimbursement for general anesthesia prohibited; unfair trade practice for hospital, health system to violate facility fee limits.
Legislative History
On Apr. 2, 2025, bill introduced in Senate; on May 21, 2025, bill passed in Senate.
On May 23, 2025, bill introduced in House; on Jun. 2, 2025, bill passed in House.
Effectiveness
Sec. 1, 2, 4 effective Oct. 1, 2025; Sec. 3 effective immediately; Sec. 5-8, 10-19 effective Jan. 1, 2026; Sec. 9 effective Jul. 1, 2026.
