IL HB1085

Establishes reimbursement rate floors for in-network mental health and substance use disorder services, requiring rates equal to or greater than benchmarks derived from a Research Triangle Institute International study on behavioral health parity, effective January 1, 2027

Requires insurers to complete the contracting and credentialing process for mental health and substance use disorder providers within 60 days of receiving a completed application

Mandates coverage for services provided by behavioral health trainees working toward clinical licensure under supervision of a fully licensed provider, with billing under the supervisor's National Provider Identifier

Requires coverage of 60-minute psychotherapy sessions (CPT Code 90837) and prohibits imposing more burdensome documentation or audit requirements on this code compared to other psychotherapy codes

Authorizes the Department of Insurance to assess $1,000 civil penalties per violation and requires impact reports to the General Assembly by December 31, 2030, 2035, and 2040 analyzing effects on network adequacy and insurance premiums