North Carolina 2021-2022 Session Status: In Committee Bipartisan · 13 D · 2 I · 2 R cosponsors

HB 653 — Mental Health and Substance Use Disorder Parity Report.

Last action — Passed 1st Reading

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  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 2021-2022 Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

43 added · 41 removed

Plain-language change summary

The updated version of House Bill 653 has clarified the requirements for health benefit plans regarding mental health and substance use disorder services compared to medical and surgical services. Notably, it now includes specific comparisons of claims paid for both in-network and out-of-network services and their cost-sharing requirements, but it also removed a section that asked for data on in-network providers treating substance use disorders. These changes aim to provide a clearer understanding of how mental health services are treated relative to other health services, which is important for assessing fair access to care.

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GENERAL ASSEMBLY OF NORTH CAROLINA H.B.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2021 H 1 HOUSE BILL 653 Short Title:
653 Apr 22, 2021 SESSION 2021 HOUSE PRINCIPAL CLERK H D HOUSE BILL DRH30284-MR-21A Short Title:
Representative Cunningham.
Representatives Cunningham, Lambeth, K.
Baker, and Adcock (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
A BILL TO BE ENTITLED AN ACT TO REQUIRE INSURERS OFFERING A HEALTH BENEFIT PLAN IN THIS STATE TO SUBMIT AN ANNUAL MENTAL HEALTH AND SUBSTANCE USE DISORDER PARITY REPORT TO THE COMMISSIONER OF THE DEPARTMENT OF INSURANCE AND THE JOINT LEGISLATIVE OVERSIGHT COMMITTEE ON HEALTH AND HUMAN SERVICES BEGINNING MARCH 1, 2022.
Health, if favorable, Rules, Calendar, and Operations of the House April 26, 2021 A BILL TO BE ENTITLED AN ACT TO REQUIRE INSURERS OFFERING A HEALTH BENEFIT PLAN IN THIS STATE TO SUBMIT AN ANNUAL MENTAL HEALTH AND SUBSTANCE USE DISORDER PARITY REPORT TO THE COMMISSIONER OF THE DEPARTMENT OF INSURANCE AND THE JOINT LEGISLATIVE OVERSIGHT COMMITTEE ON HEALTH AND HUMAN SERVICES BEGINNING MARCH 1, 2022.
(a) No later than March 1 of each year, each insurer offering a health benefit plan in this State shall submit to the Commissioner and to the Joint Legislative Oversight Committee on Health and Human Services a report detailing the insurer's compliance with federal and State mental health and substance use disorder parity laws using data from the two calendar years preceding the date of submission of the report and accounting for each health benefit plan offered by that insurer.
(a) No later than March 1 of each year, each insurer offering a health benefit plan in this State shall submit to the Commissioner and to the Joint Legislative Oversight Committee on Health and Human Services a report detailing the insurer's compliance with federal and State mental health and substance use disorder parity laws using data from the two calendar years preceding the date of submission of the report and accountingfor each health benefit plan offered by that insurer.
(3) The rates of appeals of adverse determinations, including the rates of adverse determinations upheld and overturned, for mental health and substance use disorder claims compared with the rates of appeals of adverse determinations, *DRH30284-MR-21A* General Assembly Of North Carolina Session 2021 including the rates of adverse determinations upheld and overturned, for medical and surgical claims.
(3) The rates of appeals of adverse determinations, including the rates of adverse determinations upheld and overturned, for mental health and substance use *H653-v-1* General Assembly Of North Carolina Session 2021 disorder claims compared with the rates of appeals of adverse determinations, including the rates of adverse determinations upheld and overturned, for medical and surgical claims.
The Commissioner may not require the disclosure of any privileged or confidential information, trade secret, or protected health information.
The Commissioner maynot require the disclosure of any privileged or confidential information, trade secret, or protected health information.
(c) No later than July 1 of each year, the Commissioner shall publish on the Department's website all reports submitted under this section for that calendar year.
(c) No later than July1 of each year, the Commissioner shall publish on the Department's website all reports submitted under this section for that calendar year.
Page 2 DRH30284-MR-21A
Page 2 House Bill 653-First Edition
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Action History

  1. Passed 1st Reading

  2. Ref to the Com on Health, if favorable, Rules, Calendar, and Operations of the House

  3. Filed

Sponsors

Sponsorship breakdown

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3 sponsors · 24 co-sponsors · 152 not signed on

Sponsors (3)

Co-sponsors (24)

Not signed on (152)

152 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors HB 653?
HB 653 is sponsored by R. Smith, Gill, Graham, Pricey Harrison (Democratic), Zack Hawkins (Democratic), Hunt, Insko, Carolyn G. Logan (Democratic), Lucas, Nasif Majeed (U), Marcia Morey (Democratic), Garland E. Pierce (Democratic), Amos L. Quick, III (Democratic), Robert T. Reives, II (Democratic), Brian Turner (Democratic), Donna McDowell White (Republican), Carla D. Cunningham (U), Donny Lambeth (Republican), Adcock, Autry, Terry M. Brown Jr. (Democratic), Becky Carney (Democratic), Allison A. Dahle (Democratic), Farkas, Fisher, Cecil Brockman (Democratic), and Amber M. Baker (Democratic).
What is the current status of HB 653?
This bill died with 2021-2022 Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HB 653?
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