2572 Prohibits certain health plans and behavioral health organizations from requiring, under certain circumstances, an enrollee to obtain prior authorization for substance use disorder treatment.
The bill was heard, amended and passed in the House Health and Wellness committee, heard, amended and passed in House Approps, and was then referred to House Rules. HB2572 was pulled in Rules, voted on by the House, 98-0, and was heard on 2/22 by the Senate Human Services and Corrections Committee. Executive action taken in the Senate Committee on Human Services & Corrections on 2/23; majority; passed with amendment(s) and referred to Ways & Means. Heard in Ways & Means on 2/24 and executive action taken on 2/26; majority; do pass with amendment(s). Referred to Rules Committee for second reading. 3/1, placed on second reading by Rules. No further action as of 3/8. The bill is dead. (updated 3/8)
The substitute bill requires insurers and behavioral health organizations to cover certain substance use disorder treatments for 24 hours without utilization management review limitations.
As amended by the Appropriations Committee the bill:
Limits the substance use disorder coverage that is initially exempt from utilization management review to only the listed services to the extent covered by the Public Employees Benefits Board (PEBB), a private insurer, or a behavioral health organization.
Includes all health plans offered by the PEBB, not only those as defined in RCW 48.43.005 (a definition that would have excluded the Uniform Medical Plan).