IL SB1568

Insurers must ensure mental health and substance use disorder benefits have financial requirements and treatment limitations no more restrictive than hospital and medical benefits, effective July 23, 2021.

Aggregate lifetime limits and annual limits on mental health and substance use disorder benefits must either match those for medical benefits or have no separate limits lower than medical benefits.

Insurers must use formulary policies for mental health and substance use disorder treatment drugs that are no less favorable than policies for other medical drugs and follow expedited coverage determination requirements.

Department of Insurance must develop consumer education campaigns, convene working groups with insurers and advocacy organizations to discuss parity compliance, and submit annual reports to the General Assembly on market conduct examinations and audit results.

Insurers must submit annual reports containing pharmacy management processes, utilization management policies, medical necessity criteria, and nonquantitative treatment limitations for mental health and substance use disorder benefits compared to other medical benefits.