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WV SB905
Bill
Status
3/24/2025
Primary Sponsor
Laura Wakim Chapman
Click for details
AI Summary
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Requires the Public Employees Insurance Agency (PEIA) and private health insurers to reimburse licensed mental health practitioners at the same rate as licensed physicians for the same mental health services performed in the same geographic area.
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Eligible practitioners for payment parity include those licensed under West Virginia code sections covering psychologists, licensed professional counselors, licensed clinical social workers, marriage and family therapists, and related mental health professionals.
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Claims must be submitted using appropriate diagnosis and procedure codes, the practitioner's name, their national provider identifier, and facility information if required by the insurer.
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Prohibits insurers from reducing reimbursement rates paid to licensed physicians as a means of complying with the parity requirements.
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Changes take effect July 1, 2026, and apply to PEIA plans as well as individual, group, hospital service, health care corporation, and health maintenance organization insurance policies.
Legislative Description
Requiring PEIA and other health insurance providers to provide payment parity for certain services
Health
Last Action
To Finance
3/25/2025