1 | 1 | | |
---|
2 | 2 | | <BillNo> <Sponsor> |
---|
3 | 3 | | |
---|
4 | 4 | | SENATE BILL 1248 |
---|
5 | 5 | | By Yarbro |
---|
6 | 6 | | |
---|
7 | 7 | | |
---|
8 | 8 | | SB1248 |
---|
9 | 9 | | 003228 |
---|
10 | 10 | | - 1 - |
---|
11 | 11 | | |
---|
12 | 12 | | AN ACT to amend Tennessee Code Annotated, Title 4; |
---|
13 | 13 | | Title 8; Title 33; Title 39; Title 49; Title 53; Title 56; |
---|
14 | 14 | | Title 63; Title 68 and Title 71, relative to mental |
---|
15 | 15 | | health. |
---|
16 | 16 | | |
---|
17 | 17 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE: |
---|
18 | 18 | | SECTION 1. Tennessee Code Annotated, Section 56-7-2360, is amended by deleting |
---|
19 | 19 | | subdivisions (a)(1)(E) and (F) and substituting: |
---|
20 | 20 | | (E) "Health benefit plan": |
---|
21 | 21 | | (i) Means a hospital or medical expense policy; health, hospital, or |
---|
22 | 22 | | medical service corporation contract; a policy or agreement entered into by a |
---|
23 | 23 | | health insurer or a health maintenance organization contract offered by an |
---|
24 | 24 | | employer; other plans administered by the state government; or a certificate |
---|
25 | 25 | | issued under the policies, contracts, or plans; and |
---|
26 | 26 | | (ii) Includes a plan of coverage under TennCare or a successor program |
---|
27 | 27 | | provided for pursuant to title 71, chapter 5; |
---|
28 | 28 | | (F) "Health insurance carrier": |
---|
29 | 29 | | (i) Means an entity subject to this title, or subject to the jurisdiction of the |
---|
30 | 30 | | commissioner of commerce and insurance, that contracts with healthcare |
---|
31 | 31 | | providers in connection with a plan of health insurance, health benefits, or health |
---|
32 | 32 | | services; and |
---|
33 | 33 | | (ii) Includes a vendor, as defined in § 71-5-103, or an entity that provides |
---|
34 | 34 | | a health benefit plan of coverage under TennCare or a successor program |
---|
35 | 35 | | provided for pursuant to title 71, chapter 5; |
---|
36 | 36 | | |
---|
37 | 37 | | |
---|
38 | 38 | | - 2 - 003228 |
---|
39 | 39 | | |
---|
40 | 40 | | SECTION 2. Tennessee Code Annotated, Section 56-7-2360(b), is amended by |
---|
41 | 41 | | deleting "provided, that for purposes of a TennCare health benefit plan, additional criteria used |
---|
42 | 42 | | must ensure that benefit determination, including coverage and reimbursement for the treatment |
---|
43 | 43 | | of alcoholism or drug dependence, remain in parity with benefit determination for the treatment |
---|
44 | 44 | | of mental health disorders." and substituting "provided, further, that additional criteria used must |
---|
45 | 45 | | ensure that benefit determination, including coverage for the treatment of alcoholism or drug |
---|
46 | 46 | | dependence, remain in parity with benefit determination for the treatment of mental health |
---|
47 | 47 | | disorders.". |
---|
48 | 48 | | SECTION 3. Tennessee Code Annotated, Section 56-7-2360(c), is amended by |
---|
49 | 49 | | deleting the subsection and substituting: |
---|
50 | 50 | | (c) Notwithstanding another law to the contrary, a health benefit plan issued by a |
---|
51 | 51 | | health insurance carrier must provide coverage for mental health services and treatment |
---|
52 | 52 | | to the same extent that the health benefit plan provides coverage for the treatment of |
---|
53 | 53 | | alcoholism and drug dependence. |
---|
54 | 54 | | SECTION 4. Tennessee Code Annotated, Section 56-7-2360(e)(4)(E), is amended by |
---|
55 | 55 | | deleting the subdivision and substituting: |
---|
56 | 56 | | (E) A detailed explanation regarding parity in coverage and rates of |
---|
57 | 57 | | reimbursement for mental health services and alcoholism and drug dependency services |
---|
58 | 58 | | in compliance with § 56-7-2360(c); |
---|
59 | 59 | | SECTION 5. Tennessee Code Annotated, Section 56-7-2601(e), is amended by adding |
---|
60 | 60 | | the following as a new subdivision: |
---|
61 | 61 | | (4) A residential or other mental health treatment facility licensed under title 33, |
---|
62 | 62 | | chapter 2, part 4. |
---|
63 | 63 | | SECTION 6. Tennessee Code Annotated, Section 56-7-2601(g)(5), is amended by |
---|
64 | 64 | | deleting the semicolon at the end of the subdivision and substituting "; provided, that coverage |
---|
65 | 65 | | |
---|
66 | 66 | | |
---|
67 | 67 | | - 3 - 003228 |
---|
68 | 68 | | |
---|
69 | 69 | | for mental health treatment must remain in parity with coverage for alcoholism and drug |
---|
70 | 70 | | dependence coverage;". |
---|
71 | 71 | | SECTION 7. This act takes effect July 1, 2025, the public welfare requiring it, and |
---|
72 | 72 | | applies to policies, plans, and contracts entered into, renewed, amended, or modified on or after |
---|
73 | 73 | | that date. |
---|
74 | 74 | | |
---|