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Committee considers stricter clinical-criteria and parity rules for mental-health coverage
Summary
House Bill 1432, intended to strengthen mental-health parity and require evidence-based clinical-review criteria across health carriers, received wide support from clinicians and patient advocates and technical pushback from insurers at a public hearing.
The House Health Care & Wellness Committee opened public hearing on House Bill 1432, a comprehensive rewrite and recodification of the state's mental health parity provisions that would require health carriers to use transparent, evidence-based clinical review criteria when making utilization-management and medical-necessity decisions for mental-health and substance-use disorder services.
Staff summarized the bill as: repealing existing parity language across carrier types and recodifying the rules in a single chapter applicable to all health carriers; expanding definitions for medically necessary clinical review criteria and "generally accepted standards" of care; requiring clinical criteria to be…
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