Bill > SB905

This bill establishes a new chapter in Pennsylvania insurance law requiring insurers to collect and report detailed information about addiction treatment services annually. Specifically, insurers must submit a comprehensive report to the state by April 30th each year, detailing the number of insured members, those receiving addiction treatment, and breaking down treatment authorizations and reimbursements across various treatment settings like inpatient hospital and nonhospital detoxification, rehabilitation, residential care, partial hospitalization, and outpatient services. The bill mandates reporting on the number and percentage of treatment reviews, including those resulting in denials or adverse benefit determinations. The Department of Insurance will publish this information online and share it with the Department of Drug and Alcohol Programs, which will then review the data for compliance with federal mental health parity laws (MHPAEA) and state insurance regulations. The departments are required to protect the privacy of individual patients by ensuring no identifying information is disclosed. Insurers will be responsible for covering the expenses associated with data collection, review, and reporting. The goal appears to be increasing transparency and understanding of addiction treatment coverage and potential barriers to accessing care.

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https://www.legis.state.pa.us/cfdocs/billinfo/bill_history.cfm?syear=2025&sind=0&body=S&type=B&bn=905