CT HB07127

Requires health carriers to comply with the federal Mental Health Parity and Addiction Equity Act of 2008, with federal law governing in case of conflict with state law, effective January 1, 2018.

Mandates health carriers submit annual reports to the Insurance Commissioner by March 1st detailing prior authorization ratios, claim denial rates, and reasons for denials across mental health, substance abuse, and physical health benefits by service type.

Prohibits health carriers from establishing nonquantitative treatment limitations (evidentiary standards, processes, or strategies) that place greater burden on mental health or substance abuse treatment access than on physical health treatment.

Establishes a complaint system allowing individuals to file written complaints with the Insurance Commissioner concerning carrier non-compliance, with complaint logs posted on the Department's website.

Requires the Insurance Commissioner to submit annual reports to the legislature beginning June 1, 2019, describing enforcement processes, education efforts, and actions taken to ensure carrier compliance with mental health parity requirements.