SB 905
Requiring PEIA and other health insurance providers to provide payment parity for certain services
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- Passed Senate
- Passed House of Delegates
- To Governor
- Became Law
Bill overview
This bill requires the Public Employees Insurance Agency (PEIA) and other health insurance providers in West Virginia to provide payment parity for mental health, behavioral health, and substance use disorder services. It aims to ensure that these services are covered and reimbursed at the same level as medical and surgical services. The bill also includes provisions for reporting, rulemaking, and updates to the Insurance Commissioner’s annual report to the legislature.
Key provisions
- Requires PEIA and other health insurance providers to offer payment parity for behavioral health, mental health, and substance use disorder services.
- Establishes a process for the Insurance Commissioner to report on parity compliance annually.
- Mandates the use of validated screening tools for behavioral health, mental health, and substance use disorders.
- Requires carriers to provide coverage for autism spectrum disorder treatment up to age 18.
- Specifies requirements for reimbursement of mental health care providers.
- Includes provisions for coverage of amino acid-based formula for severe protein allergies in children.
- Addresses coverage for 12-month refill of contraceptive drugs.
- Establishes a process for nonparticipating providers to be utilized when necessary.
Who is affected
- Public Employees Insurance Agency (PEIA)
- Health insurance providers in West Virginia
- Employees covered by PEIA
- Individuals receiving health insurance coverage in West Virginia
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