Bill > SB824

This bill amends Oregon Revised Statute 743B.427 to enhance reporting requirements for health insurance carriers offering behavioral health benefits. Specifically, carriers must now provide more comprehensive annual reporting to the Department of Consumer and Business Services, including detailed information about benefit denials, claims paid to in-network and out-of-network providers, and reimbursement rates for various behavioral health and medical providers across different geographic regions. The bill requires carriers to report the percentage of denials, appeals, and the median maximum allowable reimbursement rates for different types of healthcare providers, including psychiatrists, psychologists, clinical social workers, and other mental health professionals. The new provisions aim to increase transparency and ensure mental health and substance use disorder treatments are covered comparably to medical and surgical benefits, in compliance with mental health parity laws like the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act. All documents submitted under these new requirements will remain confidential and not subject to public disclosure. The department must then provide a summary report to legislative committees by September 15 each year, comparing carriers' coverage of mental health and medical services.

Budget and Finance, Education, Health and Social Services

https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/SB824