Bill > S0027

This bill would require health plans to cover clinically appropriate and medically necessary residential or inpatient services, including detoxification and stabilization services, for the treatment of mental health disorders, including substance use disorders. Health plans would not be allowed to require preauthorization prior to a patient obtaining such services, provided the facility notifies the health plan within 48 hours of admission and meets certain other requirements. The coverage would not be subject to concurrent utilization review during the first 28 days of the residential or inpatient admission, and the facility must provide the patient and health plan with a written discharge plan prior to discharge. The bill also requires the development of a comprehensive patient consent form for certified peer recovery specialist services and prohibits health plans from refusing to cover court-ordered or government-operated diversion program treatment for mental health disorders, including substance use disorders. The bill would take effect on January 1, 2024.

Health and Social Services

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