Coverage for Mental Health/Substance Use Mandated in Small Group and Individual Market

On June 14, 2017, Gov. Abbott signed HB 10 into law. This law requires plans in the small group and individual market to provide treatment for mental health and substance use disorder (MH/SUD) treatment. Specifically, plans must provide MH/SUD coverage under the same terms and conditions that apply to medical/surgical coverage.

Similar to the federal Mental Health Parity legislation, plans also cannot impose quantitative or nonquantitative limitations on MH/SUD coverage that are more restrictive than those imposed on medical/surgical coverage.

This law takes effect on Sept. 1, 2017, and will apply to all plans delivered, issued for delivery or renewed on or after Jan. 1, 2018.

HB 10 »