Montana Code 33-22-703. Coverage for mental illness, severe mental illness, and substance use disorders — definition
33-22-703. Coverage for mental illness, severe mental illness, and substance use disorders — definition. (1) A health insurance issuer that issues, modifies, or renews individual or group health insurance coverage or a group health plan shall provide for the necessary care and treatment of mental illness, severe mental illness, and substance use disorders at a level of benefits that is no less favorable than the level provided for physical illness generally, including:
Terms Used In Montana Code 33-22-703
- Group health insurance coverage: means health insurance coverage offered in connection with a group health plan or health insurance coverage offered to an eligible group as described in 33-22-501. See Montana Code 33-22-140
- Group health plan: means an employee welfare benefit plan, as defined in 29 U. See Montana Code 33-22-140
- Health insurance issuer: means an insurer, a health service corporation, or a health maintenance organization. See Montana Code 33-22-140
(a)inpatient benefits;
(b)outpatient benefits;
(c)emergency care; and
(d)prescription drugs.
(2)For the purposes of this section, “no less favorable” means the same level of parity as required under the Mental Health Parity and Addiction Equity Act of 2008 and related federal regulations as of January 1, 2017.
(3)Coverage for a child with autism who is 18 years of age or younger must comply with 33-22-515(3) through 33-22-515(5) if the child is diagnosed with:
(a)autistic disorder;
(b)Asperger’s disorder; or
(c)pervasive developmental disorder not otherwise specified.