DE HB100

Authorizes the Department of Justice to represent individuals seeking substance abuse treatment coverage from private and public health insurance plans, including Medicaid and employer-funded plans, when the Department of Insurance cannot provide timely assistance.

Allows the Department of Justice to use Consumer Protection Fund moneys to pay for auditors, attorneys, and experts to ensure appropriate insurance coverage for substance abuse treatment.

Requires health insurance carriers to inform covered persons on grievance forms about the availability of legal assistance from the Department of Justice for appeals involving substance abuse treatment denials.

Mandates the Department of Health and Social Services notify Medicaid recipients whose substance abuse treatment is denied that they may be eligible for legal assistance from the Department of Justice, including providing DOJ contact information.

Contains a sunset provision expiring January 1, 2020, requiring the General Assembly to reauthorize the Act's provisions before that date to assess its impact on healthcare costs and substance abuse treatment effectiveness.