Telehealth Parity: Equal Coverage for Mental Health and Substance Use Services.
This bill mandates that private insurance plans must cover mental health and substance use disorder services provided via telehealth at the same rate and with the same cost-sharing as in-person visits. This ensures citizens face no greater financial burden or administrative hurdles when seeking remote mental health care. The goal is to improve access to crucial mental health and addiction treatment during the public health emergency and for 90 days thereafter.
Key points
Cost Parity: Insurers must cover telehealth mental health and substance use services at the same rate and with the same patient cost-sharing as in-person services.
No Extra Barriers: Insurers cannot impose additional barriers, such as more rigorous prior authorization requirements, for telehealth services compared to in-person visits.
Facility Fee Ban: Both insurers and providers are prohibited from charging enrollees facility fees for services delivered through telehealth.
Mandatory Notice: Insurers must inform enrollees about how to access in-network telehealth mental health and substance use disorder services and the scope of their coverage.
Expired
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