Pursuant to the 2019 CT parity law for private health insurance benefits (Public Act No. 19-159), insurance carriers are required to submit data in 2021 that will allow regulators and lawmakers to identify where the disparities in coverage are for behavioral health.
No later than March 1, 2021 and annually thereafter, each health carrier is required to submit a report to the Insurance Commissioner containing data that shows how medical necessity was determined, a description of all nonquantitative treatment limitations (NQTLs), and the processes and criteria were used to make determinations for medical necessity and NQTLs.
The Insurance Commissioner will then submit this data to the CT’s General Assembly, Attorney General, Healthcare Advocate, and the Office of Health Strategy no later than April 15, 2021 (and each year thereafter).
During the 2021 legislative session, MHC will work with advocates and legislators to ensure the first provision of the 2019 parity law is followed. The Coalition will also be a resource for lawmakers and regulators to learn of progress being made at the federal level and in other states. The November 2020 ruling that United Behavioral Health illegally denied tens of thousands claims for behavioral health will set a precedent for all states moving forward.
To learn more:
Successful parity reform requires a community effort. Contact us with questions or to learn how to support the work of the CT Parity Coalition.
The CT Parity Coalition is supported in part from the Beverly A. Walton Memorial Advocacy Fund.