Utah § 31A-22-649.5 Insurance parity for telemedicine services -- Method of technology used.

Utah Statutes

§ 31A-22-649.5 — Insurance parity for telemedicine services -- Method of technology used.

Utah § 31A-22-649.5

Title 31AInsurance Code

Ch. 31A-22Contracts in Specific Lines

Part 31A-22-6Accident and Health Insurance

This text of Utah § 31A-22-649.5 (Insurance parity for telemedicine services -- Method of technology used.) is published on Counsel Stack Legal Research, covering Utah primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Utah Code Ann. § 31A-22-649.5 (2026).

Text

(1)As used in this section:

(1)(a) "Mental health condition" means a mental disorder or a substance-related disorder that falls under a diagnostic category listed in the Diagnostic and Statistical Manual, as periodically revised.

(1)(b) "Telemedicine services" means the same as that term is defined in Section 26B-4-704.

(2)Notwithstanding the provisions of Section 31A-22-618.5, a health benefit plan offered in the individual market, the small group market, or the large group market shall:

(2)(a) provide coverage for:

(2)(a)(i) telemedicine services that are covered by Medicare; and

(2)(a)(ii) treatment of a mental health condition through telemedicine services if:

(2)(a)(ii)(A) the health benefit plan provides coverage for the treatment of the mental health condition through in-person

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(1) As used in this section:

(1)(a) "Mental health condition" means a mental disorder or a substance-related disorder that falls under a diagnostic category listed in the Diagnostic and Statistical Manual, as periodically revised.
(1)(b) "Telemedicine services" means the same as that term is defined in Section 26B-4-704.
(2) Notwithstanding the provisions of Section 31A-22-618.5, a health benefit plan offered in the individual market, the small group market, or the large group market shall:

(2)(a) provide coverage for:
(2)(a)(i) telemedicine services that are covered by Medicare; and
(2)(a)(ii) treatment of a mental health condition through telemedicine services if:

(2)(a)(ii)(A) the health benefit plan provides coverage for the treatment of the mental health condition through in-person services; and
(2)(a)(ii)(B) the health benefit plan determines treatment of the mental health condition through telemedicine services meets the appropriate standard of care; and
(2)(b) reimburse a network provider that provides the telemedicine services described in Subsection (2)(a) at a negotiated commercially reasonable rate.
(3) (3)(a) Notwithstanding Section 31A-45-303, a health benefit plan providing coverage under Subsection (2)(a) may not impose originating site restrictions, geographic restrictions, or distance-based restrictions.
(3)(b) A network provider that provides the telemedicine services described in Subsection (2)(a) may utilize any synchronous audiovisual technology for the telemedicine services that is compliant with the federal Health Insurance Portability and Accountability Act of 1996.