Relating to insurance coverage for prescription drugs used to treat substance use disorders

This bill relates to insurance coverage for prescription drugs used to treat substance use disorders. The bill requires policies, contracts, or plans providing for third-party payment or prepayment of health or medical expenses that provide coverage for prescription drugs to provide coverage for all prescription drugs approved by the United States food and drug administration to treat substance use disorders. “Prescription drug” is defined in the bill as prescription medication, including an injectable medication, that has been prescribed as medically necessary by a covered person’s health care professional. Coverage required under the bill shall not be less favorable than coverage a health carrier offers for general physical illness. Cost-sharing imposed for coverage required under the bill shall not be less favorable than cost-sharing a health carrier imposes for general physical illness. The bill applies to the third-party payment providers enumerated in the bill. The bill specifies the types of specialized health-related insurance which are not subject to the bill. The commissioner of insurance may adopt rules to administer the bill. The bill applies to third-party payment provider contracts, policies, or plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2024.