MI HB5619

Requires the insurance director to implement and enforce the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 and related federal regulations, including proactive insurer compliance oversight and evaluation of consumer complaints regarding mental health and substance use disorder coverage.

Mandates the director conduct market conduct examinations of insurers focusing on nonquantitative treatment limitations (prior authorization, concurrent review, step therapy, network standards, reimbursement rates, geographic restrictions) to ensure parity between mental health and medical/surgical benefits.

Requires insurers to submit comparative analyses during form review demonstrating how they apply nonquantitative treatment limitations for behavioral health benefits versus medical and surgical benefits.

Directs the director to issue annual reports to the legislature starting April 1, 2020, detailing compliance methodology, market conduct examinations conducted, and corrective actions taken; reports must be written in nontechnical language and posted publicly.

Establishes a workgroup to plan and implement a statewide consumer educational campaign on behavioral health parity in 2021, including regional trainings and a consumer hotline, with a report to the legislature by July 1, 2022.