Bill Summary for H 653 (2021-2022)

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Summary date: 

Apr 22 2021

Bill Information:

View NCGA Bill Details2021
House Bill 653 (Public) Filed Thursday, April 22, 2021
AN ACT TO REQUIRE INSURERS OFFERING A HEALTH BENEFIT PLAN IN THIS STATE TO SUBMIT AN ANNUAL MENTAL HEALTH AND SUBSTANCE USE DISORDER PARITY REPORT TO THE COMMISSIONER OF THE DEPARTMENT OF INSURANCE AND THE JOINT LEGISLATIVE OVERSIGHT COMMITTEE ON HEALTH AND HUMAN SERVICES BEGINNING MARCH 1, 2022.
Intro. by Cunningham, Lambeth, K. Baker, Adcock.

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Bill summary

Amends Article 3 of GS Chapter 58 by adding GS 58-3-220.1 which does the following:
(1) Requires insurers providing health plans in this state to report by March 1 of each year to the Commissioner of Insurance and the Joint Legislative Oversight Committee on Health and Human Services on compliance with state and federal mental health and substance use disorder parity laws.
(2) Requires that these reports use data from the previous two calendar years on all health benefit plans offered and include information such as rates of claims and approvals for mental health/substance use disorder services compared to rates of claims and approvals for medical/surgical services, percentages of claims paid for in network and out of network mental health/substance use disorder services compared to those percentages of medical/surgical services paid for, comparison of costs and benefit limitations between mental health/substance use services and medical/surgical services, and numbers and information about in network and out of network mental health/substance use services providers;
(3) Protects private health information and other privileged information with respect to these annual reports; and
(4) Requires the Commissioner of Insurance to publish these reports by July 1 of each year to the Insurance Commission’s website.
Effective January 1, 2022.