The proposed bill amends the "Health Care Accessibility and Quality Assurance Act" by introducing a new section that mandates healthcare entities and network plans to compile and report to the health insurance commissioner a summary of their requirements for contracted providers to submit claims for in-network outpatient behavioral health services. This reporting must occur before January 1, 2026, and at least annually thereafter. The bill specifies that the claims can be submitted using particular current procedural terminology (CPT) codes and modifiers specific to behavioral health services.

Additionally, the bill stipulates that all contracts with providers for in-network outpatient behavioral health services must include a provision for a one-time average rate increase, effective January 1, 2026. This increase will be based on the United States Department of Labor's Consumer Price Index (CPI) for all urban consumers, plus an additional five percent. The health insurance commissioner is tasked with determining the CPI percentage increase by October 1, 2025, using the most recent data available. The act will take effect upon passage.