Bill > HB2049

This bill establishes new requirements for Medicaid managed care plans in Oklahoma to ensure better coverage and compliance for mental health and substance use disorder services. The Oklahoma Health Care Authority will be responsible for making sure that insurers and managed care plans follow federal and state laws regarding mental health coverage. This includes requiring managed care plans to conduct regular parity compliance analyses for any non-quantitative treatment limitations on mental health or substance use disorder benefits, and to perform these analyses whenever changes are made to treatment limitations. The bill mandates that state Medicaid and Children's Health Insurance Program (CHIP) plans review these analyses to ensure compliance and address any issues through a standardized process. Additionally, the Oklahoma Health Care Authority must develop a process for receiving and investigating parity complaints and will be required to publicly release various reports, surveys, and analyses related to mental health service parity, including submitting de-identified substantiated complaints and reports to the Centers for Medicare and Medicaid Services within 30 days of submission. The bill is set to become effective on November 1, 2025, and aims to improve transparency and equity in mental health and substance use disorder coverage within Oklahoma's Medicaid system.

Budget and Finance, Health and Social Services

http://www.oklegislature.gov/BillInfo.aspx?Bill=hb2049&Session=2600