MI HB5620

Requires health care corporations to submit annual reports to the Michigan Department of Insurance and Financial Services beginning March 1, 2021, detailing mental health and substance use disorder benefit parity compliance.

Mandates identification and description of all financial requirements and quantitative treatment limitations applied to mental health and substance use disorder benefits compared to medical and surgical benefits, including assessment processes.

Requires description of processes used to develop medical necessity criteria for mental health and substance use disorder benefits versus medical and surgical benefits.

Requires comparative analysis demonstrating that nonquantitative treatment limitations and medical necessity criteria for mental health and substance use disorder benefits are applied no more stringently than those for medical and surgical benefits, including evidentiary standards and operational processes.

Prohibits health care corporations from applying separate nonquantitative treatment limitations to mental health and substance use disorder benefits that do not apply to medical and surgical benefits within any benefit classification.