Loading chat...
FL H0939
Bill
Status
3/14/2020
Primary Sponsor
Emily Slosberg-King
Click for details
AI Summary
-
Requires insurers, HMOs, and health service plans to comply with the federal Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), prohibiting less favorable benefit limitations on mental health and substance use disorder coverage compared to medical/surgical benefits
-
Mandates annual reporting by July 1 from Medicaid managed care plans and health insurers to the Agency for Health Care Administration and Office of Insurance Regulation detailing medical necessity criteria, nonquantitative treatment limitations (NQTLs), and parity compliance analyses
-
Directs the Office of Insurance Regulation to implement and enforce MHPAEA compliance, including conducting market conduct examinations of medical management practices, network adequacy, reimbursement rates, and prior authorizations
-
Requires the Office of Insurance Regulation to issue a public annual report to the Legislature by December 31 describing compliance methodology, written in nontechnical language and posted on the office's website
-
Repeals s. 627.669, F.S. (optional coverage for substance abuse impaired persons) and takes effect July 1, 2020
Legislative Description
Insurance Coverage Parity for Mental Health and Substance Use Disorders
Last Action
Died in Health Market Reform Subcommittee
3/14/2020