HB1085

Illinois HB1085 mandates mental health and substance use disorder parity in insurance coverage, requiring equal reimbursement rates and coverage for.

Illinois HB1085 amends the Illinois Insurance Code to establish parity in mental health and substance use disorder treatment coverage. It mandates that reimbursement rates for in-network services must be equal to or greater than 141% of the Medicare rate for such services. The bill also requires insurers to cover medically necessary 60-minute psychotherapy billed using the CPT Code 90837 for Individual Therapy, without imposing more onerous documentation requirements than other psychotherapy CPT Codes.