Bill > HB1141

This bill aims to enhance mental health and substance abuse coverage by establishing new requirements for insurers and the Department of Insurance in Indiana. The legislation implements provisions of the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Act of 2008, requiring the department to proactively ensure that insurers provide mental health and substance abuse benefits on par with medical and surgical benefits. Specifically, the bill mandates that the department conduct market conduct examinations focusing on various non-quantitative treatment limitations, such as prior authorization, network admission standards, and reimbursement rates. Insurers must submit annual reports detailing their medical necessity criteria, treatment limitations, and comparative analyses demonstrating equivalent coverage. The bill introduces a new standard for reimbursement rates, requiring that mental health and substance abuse provider rates be at least as favorable relative to Medicare rates as medical and surgical provider rates. Additionally, the department is required to submit a comprehensive report to the General Assembly by July 1, 2026, detailing its methodology for ensuring compliance, market conduct examination results, and any corrective actions taken. The report must be made publicly available and presented to the interim study committee on financial institutions and insurance, with the reporting requirement set to expire on June 30, 2027.

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https://iga.in.gov/legislative/2025/bills/house/1141/details