RI H7945

Requires insurance payors to provide coverage for substance use disorders at minimum in accordance with American Society of Addiction Medicine criteria, rather than simply "relying upon" such criteria

Mandates that payors conducting utilization review for mental health or substance use disorder placement must exclusively apply the most recent patient placement criteria from nonprofit professional provider associations and authorize care consistent with those criteria

Prohibits mental health and substance use disorder coverage and clinical criteria from deviating from generally accepted standards of care

Adds new definition of "generally accepted standards of care" referencing standards recognized by healthcare providers in psychiatry, psychology, clinical social work, addiction medicine, and behavioral health treatment, including tools like LOCUS and CALOCUS-CASII

Defines "nonprofit professional provider association" to include organizations such as the American Psychiatric Association, American Society of Addiction Medicine, and American Academy of Child and Adolescent Psychiatry that issue peer-reviewed clinical guidelines