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Substitute approved to set "generally accepted standards of care" for mental health and substance use treatment
Summary
The subcommittee approved HB2738 (with substitute) to define "generally accepted standards of care" and clarify medical necessity and utilization review for mental health and substance use disorder services; the substitute passed 5‑2 after testimony from providers, parents and advocacy groups.
Delegate Sickles presented House Bill 2738 with a substitute that aims to add statutory clarity to definitions used in mental health and substance use disorder coverage, including a definition of "generally accepted standards of care," a clarified definition of "medically necessary," and criteria for utilization review.
Why it matters: witnesses described insurance denials that restrict access to evidence‑based behavioral treatments. Brian McCann, president and CEO of the Faison Center, said his organization shut a center‑based ABA program…
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