§ 3902.36 — Compliance with federal mental health and addiction parity laws

Ohio § 3902.36

• Jurisdiction: Ohio
• Title 39: Insurance
• Ch. 3902: Insurance Policies And Contracts

Text

(A) As used in this section:

(1) "Health benefit plan" and "health plan issuer" have the same meanings as in section3922.01of the Revised Code.

(2) "Mental Health Parity and Addiction Equity Act" means the federal "Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008," Pub. L. No. 110-343, as amended, and any federal regulations implementing that act.

(B) Each health plan issuer and health benefit plan subject to the Mental Health Parity and Addiction Equity Act shall comply with all applicable requirements of that act. The requirements of this section do not apply to a health plan issuer or a health benefit plan that is exempt from the requirements of that act by operation of law or other federal guidance.

(C) The superintendent of insurance shall implement and enforce all applicable provisions of the Mental Health Parity and Addiction Equity Act and shall do all of the following:

(1) Proactively ensure compliance by health plan issuers;

(2) Evaluate all consumer and provider complaints regarding mental health and substance use disorder benefits for possible parity violations;

(3) Adopt rules in accordance with Chapter 119. of the Revised Code as necessary to do both of the following:

(a) Effectuate any provisions of the Mental Health Parity and Addiction Equity Act that relate to the business of insurance;

(b) Enforce, monitor compliance with, and ensure continued compliance with this section.

(D) Nothing in this section is subject to the requirements of section3901.71of the Revised Code.

Legislative History

Effective: March 24, 2021 | Latest Legislation: Senate Bill 284 - 133rd General Assembly