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WV HB4061

WV HB4061
Requiring PEIA and other health insurance providers to provide payment parity for certain services


summary

Introduced
01/14/2026
In Committee
01/14/2026
Crossed Over
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

The purpose of this bill is to provide payment parity for mental health care delivered by non-physicians for identical services provided by physicians.

AI Summary

This bill requires health insurance providers, including the Public Employees Insurance Agency (PEIA), to ensure that reimbursement for mental health care provided by licensed practitioners such as psychologists and licensed professional counselors is equal to the reimbursement paid to licensed physicians for the same services in the same area, provided that claims are submitted with appropriate codes and provider information, and that insurers do not reduce physician reimbursement to comply with this provision. This aims to achieve payment parity, meaning that non-physician mental health providers receive the same payment as physicians for identical services, thereby promoting equitable access to mental health care. The bill also mandates that insurance plans cannot impose stricter limitations on mental health benefits than on medical or surgical benefits and requires insurers to report annually on their compliance with these parity requirements.

Committee Categories

Health and Social Services

Sponsors (2)

Last Action

To House Health and Human Resources (on 01/14/2026)

bill text


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