Bill > SB905

This bill requires the Public Employees Insurance Agency (PEIA) and other health insurance providers in West Virginia to ensure payment parity for mental health and behavioral health services. Specifically, the bill mandates that reimbursement for mental health care provided by licensed practitioners (such as psychologists, counselors, and social workers) must be the same amount as reimbursement paid to licensed physicians for similar services. The bill requires that claims for these services be submitted with specific details, including diagnosis and procedure codes, the practitioner's name, and national provider identifier. Importantly, the bill prohibits insurers from reducing physician reimbursement rates to comply with these new requirements. The changes are part of a broader effort to ensure that mental health services are treated equivalently to medical and surgical services, with no more restrictive limitations or financial requirements. The bill applies to various types of health insurance plans, including those for public employees, accident and sickness insurance, hospital service corporations, and health maintenance organizations. The provisions are set to take effect on July 1, 2026, giving insurance providers time to adjust their policies and practices to meet the new requirements.

Budget and Finance, Health and Social Services

http://www.wvlegislature.gov/Bill_Status/Bills_history.cfm?input=905&year=2025&sessiontype=RS&btype=bill