MCH LEG passed Bill SB 27 on behavioral health, substance use treatment coverage.
Aims to provide equity in coverage for mental health and substance use disorders.
Equitable Insurance Coverage
Amends The insurance code of 1956, MCH INS 500.100 to 500.8302 to add MCH LEG 3406hh to provide equity in coverage for mental health and substance use disorders.
Coverage must be similar to coverage for any other medical and surgical benefits.
The coverage must have no separate cumulative financial requirements that are applicable only with respect to mental health or substance use disorder benefits.
Nonquantitative treatment limitations may be imposed on both benefits only if the factors used are no more stringent than factors used for medical or surgical benefits.
Benefits must meet all applicable federal parity requirements, including, but not limited to, 42 USC 300gg-26 and the regulations promulgated under that section.
If a health insurance policy provides benefits through multiple tiers of in-network providers, health plan may divide its in-network benefits into tiered subclassifications.
Legislative History
On Jan. 18, 2023, bill introduced in Senate; on Oct. 18, 2023, bill passed in Senate.
On Oct. 18, 2023, bill delivered to House; on May 1, 2024, bill was passed in House.
On May 1, 2024, bill returned to Senate; on May 2, 2024, bill ordered enrolled.
Effectiveness
Upon approval, effective 91st day after final adjournment, on Mar. 31, 2025.
May 2024 MCH LEG Governor Approval
On May 22, 2024, MCH LEG reported governor approved bill SB 27, assigned PA 0041.
In May 2024, MCH INS issued statement on new mental health bill, see #212998.
Regulators
MCH AG; MCH LEG
Entity Types
CNSM; Ins
Reference
PA0041, 5/22/2024; PR, 5/21/2024; Bill SB27, 5/2/2024; PR, 5/1/2024; Lt, 4/18/2024; Citation: MCH INS 500.100; 42 USC 300gg-26;
