Health insurance; coverage for mental health services. (HB1185)

Introduced By

Sen. Lionell Spruill (D-Chesapeake) with support from co-patrons Del. Algie Howell (D-Norfolk), Del. Johnny Joannou (D-Portsmouth), Del. John O'Bannon (R-Richmond), and Sen. Roz Dance (D-Petersburg)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


Health insurance; coverage for mental health services. Prohibits an insurer that provides coverage for inpatient and partial hospitalization mental health and substance abuse services for a family member of the insured or subscriber from denying coverage based primarily on a subjective evaluation of the imminence of the individual's suicide risk or risk of danger to others made by an employee or contractor of the insurer or corporation. An insurer's determination of whether inpatient treatment is medically necessary is required to give due consideration to the treatment recommendation of the health care provider treating the individual. In addition, the measure provides that if an insurer validly denies coverage for inpatient and partial hospitalization because a less intensive treatment option represents the medically necessary level of care, and the covered individual nevertheless receives the more intensive treatment, the insurer shall provide coverage for the more intensive treatment on the basis of the reimbursement and payment rates that would have applied had the less intensive treatment been provided. Read the Bill »


Bill Has Failed


01/16/2014Presented and ordered printed 14103022D
01/16/2014Referred to Committee on Commerce and Labor
01/28/2014Impact statement from SCC (HB1185)
02/12/2014Left in Commerce and Labor