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 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).
