Amends the provisions for insurance coverage of mental health, mental illness, and substance use disorders.
Amends the provisions for insurance coverage of mental health, mental illness, and substance use disorders.
This act would prohibit health insurance providers from requiring preauthorization for in- network mental health or substance use disorder services.
Prohibits health insurance providers from requiring preauthorization for in- network mental health or substance use disorder services.
Authorizes emergency medical service agencies to transport individuals to alternative facilities for treatment and permits licensed providers for mental health disorders to treat patients within the community.
Authorizes office of health and human services (EOHHS) to establish coverage for obesity treatments, including medication. Office of health and human services would seek a 1115(a) waiver.
Would promote transparency and accountability in the use of artificial intelligence by health insurers to manage coverage and claims.
Revises sections of the uniform controlled substances act to remove specific opioid dosage requirements, revises the uniform controlled substances act in accordance with current standards of professional practice and would repeal chapter 37.4 of title 5.
Extends coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome by removing the sunset date of December 31, 2025, and mandating such coverage.
Requires every individual or group health insurance plan on or after January 1, 2026, that provides benefits to reimburse child service providers for therapy services offered through EOHHS certified Kids Connect/Therapeutic Services.