CT HB07125

Health carriers must submit annual reports to the Insurance Commissioner beginning March 1, 2021, describing medical necessity criteria and nonquantitative treatment limitations applied to mental health and substance use disorder benefits compared to medical and surgical benefits

Reports must include comparative analyses demonstrating that processes for designing and applying mental health treatment limitations are comparable to and no more stringent than those for medical and surgical benefits, consistent with the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008

Insurance Commissioner shall forward reports to the joint standing committee on insurance, Attorney General, Healthcare Advocate, and Office of Health Strategy, with health carrier names kept confidential

Individual and group health insurance policies delivered or renewed after January 1, 2020, cannot apply nonquantitative treatment limitations to mental health and substance use disorder benefits in a manner more stringent than limitations applied to medical and surgical benefits

Individual and group health insurance policies cannot deny coverage for substance abuse services solely because services were provided pursuant to a court order, effective January 1, 2020