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Insurance parity bill would restrict utilization management and require treatment consistent with clinical standards, OIC estimates enforcement cost
Summary
Engrossed Second Substitute House Bill 14 32 would tighten enforcement of mental‑health parity by requiring insurers to apply accepted clinical standards and by narrowing prior authorization for early outpatient mental‑health and SUD visits.
Engrossed Second Substitute House Bill 14 32 would strengthen enforcement of mental‑health and substance‑use disorder parity by requiring carriers to use generally accepted clinical standards and recognized patient-placement criteria for utilization-review decisions.
Among the bill’s provisions are: a requirement that carriers (and their pharmacy/behavioral health managers) offer “meaningful benefits” covering standard treatment for diagnosed conditions; a prohibition on prior authorization and other utilization-management reviews for the initial evaluation and up to six consecutive…
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