Bill
Bill > H0939
summary
Introduced
12/12/2019
12/12/2019
In Committee
01/03/2020
01/03/2020
Crossed Over
Passed
Dead
03/14/2020
03/14/2020
Introduced Session
2020 Regular Session
Bill Summary
An act relating to insurance coverage parity for mental health and substance use disorders; amending s. 409.967, F.S.; requiring Medicaid managed care plans to submit an annual report to the Agency for Health Care Administration relating to parity between mental health and substance use disorder benefits and medical and surgical benefits; specifying required information in the report; amending s. 627.6675, F.S.; conforming a provision to changes made by the act; transferring, renumbering, and amending s. 627.668, F.S.; requiring certain entities transacting individual or group health insurance or providing prepaid health care to comply with specified federal provisions that prohibit the imposition of less favorable benefit limitations on mental health and substance use disorder benefits than on medical and surgical benefits; deleting provisions relating to optional coverage for mental and nervous disorders by such entities; revising the standard for defining substance use disorders; requiring such entities to submit an annual report relating to parity between mental health and substance use disorder benefits and medical and surgical benefits to the Office of Insurance Regulation; specifying required information in the report; hb0939-00 HB 939 requiring the office to implement and enforce certain federal law in a specified manner; requiring the office to issue a specified annual report to the Legislature; providing requirements for writing and publicly posting the report; repealing s. 627.669, F.S., relating to optional coverage required for substance abuse impaired persons; providing an effective date.
AI Summary
This bill aims to ensure parity in insurance coverage for mental health and substance use disorder benefits compared to medical and surgical benefits. It requires Medicaid managed care plans and certain entities providing individual or group health insurance or prepaid health care to submit annual reports detailing their processes, strategies, and evidentiary standards used to apply medical necessity criteria and non-quantitative treatment limitations (NQTLs) to mental health, substance use disorder, and medical and surgical benefits. The bill also requires the Office of Insurance Regulation to implement and enforce the federal Mental Health Parity and Addiction Equity Act (MHPAEA) and related federal guidance, including detecting violations, reviewing consumer complaints, and conducting compliance examinations. Additionally, the Office must issue an annual report to the Legislature describing its MHPAEA compliance methodology.
Committee Categories
Health and Social Services
Sponsors (4)
Last Action
Died in Health Market Reform Subcommittee (on 03/14/2020)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.flsenate.gov/Session/Bill/2020/939 |
| Bill | https://www.flsenate.gov/Session/Bill/2020/939/BillText/Filed/PDF |
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