This bill aims to enhance access to mental health and substance use disorder services in Rhode Island by prohibiting health insurers from requiring prior authorization for in-network services. The legislative findings highlight the significant gap in care for individuals with mental health issues and substance use disorders, noting that a large percentage of those affected do not receive necessary treatment. The bill builds on previous efforts by the Office of Health Insurance Commissioner (OHIC) and Blue Cross Blue Shield of Rhode Island to promote parity in mental health care access.

The bill amends Section 27-38.2-1 of the General Laws, inserting new provisions that ensure coverage for mental health and substance use disorders is treated equally to other medical conditions. Key insertions include a mandate that no health insurers in Rhode Island shall require prior authorization for in-network mental health or substance use disorder services, and that the OHIC will establish rules and regulations to enforce this requirement, including the imposition of fines for violations. The act is set to take effect upon passage, aiming to improve timely access to necessary care for Rhode Islanders facing these challenges.

Statutes affected:
54: 27-38.2-1