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FL H0307
Bill
Status
5/3/2019
Primary Sponsor
David Silvers
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AI Summary
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Requires insurers, HMOs, and health service plans to comply with the federal Mental Health Parity and Addiction Equity Act (MHPAEA), ensuring mental health and substance use disorder benefits have limitations no less favorable than medical/surgical benefits
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Mandates annual reports from insurers and managed care plans to the Office of Insurance Regulation detailing medical necessity criteria and nonquantitative treatment limitations (NQTLs) for mental health, substance use, and medical/surgical benefits
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Requires the Office of Insurance Regulation to enforce MHPAEA compliance through market conduct examinations reviewing medical management practices, network adequacy, reimbursement rates, and prior authorizations
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Updates the diagnostic standard for substance use disorders from "standard nomenclature" to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)
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Repeals section 627.669 (optional coverage for substance abuse impaired persons) and requires the Office of Insurance Regulation to submit annual compliance methodology reports to the Legislature by December 31
Legislative Description
Insurance Coverage Parity for Mental Health and Substance Use Disorders
Last Action
Died in Health Market Reform Subcommittee
5/3/2019