MO SB145

Health benefit plans delivered, issued, continued, or renewed on or after January 1, 2017 must provide coverage for diagnosis and treatment of eating disorders including Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, and other disorders listed in the DSM

Covered treatments include inpatient hospitalization, partial hospitalization, residential care, intensive outpatient treatment, outpatient care, counseling, and prescribed medications

Coverage is limited to medically necessary treatment provided by licensed physicians, psychiatrists, psychologists, professional counselors, clinical social workers, or licensed marital and family therapists acting within their scope of practice

Medical necessity determinations must consider overall medical and mental health needs, cannot be based solely on weight, and must follow American Psychiatric Association practice guidelines

Excludes supplemental insurance policies such as accident-only, specified disease, Medicare supplement, long-term care, and short-term major medical policies of six months or less