VA HB656

Establishes quantitative network adequacy standards for managed care health insurance plans covering mental health and substance use disorder treatment, requiring standards at least as stringent as those for qualified health plans offered through the state exchange

Requires health insurers to conduct and document comparative analyses of nonquantitative treatment limitations applied to mental health and substance use disorder benefits versus medical/surgical benefits, and to submit these analyses to the State Corporation Commission upon request

Expands the definition of "mental health services" to include all conditions in the Mental, Behavioral, and Neurodevelopmental Disorders chapter of the International Classification of Diseases or the Diagnostic and Statistical Manual of Mental Disorders

Exempts Board of Health amendments to network adequacy standards from standard regulatory procedures when conforming to qualified health plan requirements, provided public comment opportunity is offered

Modifies Virginia's All-Payer Claims Database provisions to collect all claims data rather than only paid claims for covered benefits, supporting broader health care cost and access analysis