SB1147

Missouri SB1147 mandates insurance coverage for mental health treatments and requires reimbursement for out-of-network care.

Missouri SB1147 amends Chapter 376 of the Revised Statutes of Missouri by adding a new section, 376.1553, which mandates that health benefit plans cover mental health treatments. It establishes a rebuttable presumption that a plan's provider network is inadequate if more than fifteen percent of enrollees are treated outside the network. The bill also requires health carriers to reimburse hospitals for out-of-network mental health treatments at the higher of MO HealthNet or Medicare rates. This provision aims to ensure adequate mental health care access for policyholders.