Bill > H152

This bill introduces new regulations for transcranial magnetic stimulation (TMS), a noninvasive medical treatment that uses magnetic fields to stimulate specific brain regions, typically used for treating depression and other mental health disorders. The bill requires insurers in North Carolina offering health benefit plans that cover TMS to provide coverage for procedures performed by licensed healthcare providers within their professional scope of practice. While insurers must offer coverage, they retain discretion in determining specific aspects such as which TMS procedures are covered, the indications for coverage, coverage requirements, and reimbursement rates. The bill prohibits insurers from penalizing healthcare providers or facilities for submitting TMS-related claims based on their medical specialty. Insurers can still adjust reimbursement rates based on factors like network participation, service location, and provider training or certification levels. The legislation will take effect on October 1, 2025, and will apply to insurance contracts issued, renewed, or amended on or after that date, effectively expanding access to TMS treatments while maintaining flexibility for insurance providers in implementing coverage.

Business and Industry, Government Affairs, Health and Social Services

https://www.ncleg.gov/BillLookUp/2025/H152