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DE SB230

Bill

Status

Passed

8/29/2018

Primary Sponsor

Bryan Townsend

Click for details

Origin

Senate

149th General Assembly

AI Summary

  • Requires insurance carriers and health insurers offering mental illness and drug/alcohol dependency benefits to submit compliance reports to the Delaware Health Information Network and Insurance Commissioner by July 1, 2019, and annually thereafter when making significant changes to medical management protocols.

  • Mandates carriers identify all non-quantitative treatment limitations (NQTLs) applied to mental health and substance abuse benefits and demonstrate these limitations are no more stringent than those applied to medical and surgical benefits.

  • Requires comparative analysis showing the processes, strategies, and evidentiary standards used for mental health and addiction benefits are comparable to and applied no more stringently than those for medical and surgical benefits.

  • Designates proprietary information submitted in reports as confidential and not subject to public disclosure; enforcement authority rests with the Insurance Commissioner or Department of Health and Social Services with no private right of action granted.

  • Applies similar reporting requirements to managed care carriers providing benefits under Medicaid, with the Department of Health and Social Services authorized to request identification of select NQTLs rather than all NQTLs.

Legislative Description

An Act To Amend Title 18 And Title 31 Of The Delaware Code Relating To Insurance

Last Action

Signed by Governor

8/29/2018

Committee Referrals

Health & Human Development6/27/2018
Banking, Business & Insurance6/5/2018

Full Bill Text

No bill text available