SB3213 Summary

• Requires group and individual health insurance policies and managed care plans to cover evidence-based treatment for serious mental illnesses and serious emotional disturbances in early stages, effective after the bill's enactment date.

• Mandates coverage include assertive community treatment, community support team treatment (comparable to Medical Assistance Program scope), and first episode psychosis treatment with coordinated specialty care model elements.

• Requires payment for bundled treatment models to be based on all components combined rather than individual services, and eliminates disability or functional impairment as preconditions for receiving early treatment.

• Includes conforming amendments to the State Employee Group Insurance Act, Counties Code, Illinois Municipal Code, School Code, Health Maintenance Organization Act, Limited Health Service Organization Act, and Voluntary Health Services Plans Act.

• Becomes inoperative if federal regulations require Illinois to defray coverage costs under the Affordable Care Act, with the State assuming no obligation for such costs.