WI AB338

Health insurance policies and self-insured governmental health plans must cover at least 28 appointments or visits per policy year with a mental health care provider for mental health or substance use disorder treatment, or as many visits as necessary to meet the insured's treatment goals

Prior authorization is prohibited for mental health and substance use disorder appointments covered under this requirement

Applies to disability insurance policies, limited service health organizations, preferred provider plans, defined network plans, and self-insured health plans of state and local governments (counties, cities, villages, towns, school districts)

Office of the Commissioner of Insurance must prepare a preliminary actuarial estimate of average cost impact on qualified health plans; if the estimate exceeds a 10 percent cost increase, OCI may not enforce the coverage requirements

Takes effect on the first day of the 4th month after publication, with delayed applicability for plans affected by collective bargaining agreements until the agreement is newly established, extended, modified, or renewed