Print Friendly HOUSE BILL NO. 609 – Biologically based mental illness
HOUSE BILL NO. 609
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BIOLOGICALLY BASED MENTAL ILLNESS - Adds to existing law to provide for
insurance benefits for biologically based mental illness, to define
biologically based mental illness, to define mental illness and to provide
application of the act.
02/04 House intro - 1st rdg - to printing
02/05 Rpt prt - to Bus
|||| LEGISLATURE OF THE STATE OF IDAHO ||||
Fifty-fourth Legislature Second Regular Session - 1998
IN THE HOUSE OF REPRESENTATIVES
HOUSE BILL NO. 609
BY BUSINESS COMMITTEE
1 AN ACT
2 RELATING TO INSURANCE BENEFITS FOR BIOLOGICALLY BASED MENTAL ILLNESS; AMENDING
3 CHAPTER 18, TITLE 41, IDAHO CODE, BY THE ADDITION OF A NEW SECTION
4 41-1843, IDAHO CODE, TO PROVIDE FOR INSURANCE BENEFITS FOR MENTAL ILLNESS,
5 TO DEFINE "BIOLOGICALLY BASED MENTAL ILLNESS" AND TO DEFINE "MENTAL HEALTH
6 PROFESSIONAL"; AND TO PROVIDE APPLICATION OF THIS ACT TO CONTRACTS, AGREE-
7 MENTS, POLICIES AND CERTIFICATES EXECUTED, DELIVERED, ISSUED FOR DELIVERY,
8 CONTINUED OR RENEWED IN THIS STATE ON AND AFTER JULY 1, 1998, AND TO PRO-
9 VIDE WHEN RENEWAL OCCURS.
10 Be It Enacted by the Legislature of the State of Idaho:
11 SECTION 1. That Chapter 18, Title 41, Idaho Code, be, and the same is
12 hereby amended by the addition thereto of a NEW SECTION , to be
13 known and designated as Section 41-1843, Idaho Code, and to read as follows:
14 41-1843. BENEFITS FOR BIOLOGICALLY BASED MENTAL ILLNESS -- DEFINITION --
15 REQUIREMENT. For the purposes of chapters 21, 22, 28, 32, 34, 39, 40, 47 and
16 52 of this title and notwithstanding any other provision of law, cost-sharing
17 requirement, benefit or service limitation for outpatient or inpatient mental
18 health services under any contract, agreement, policy or certificate providing
19 for reimbursement or payment to an insurance subscriber, policyholder, insured
20 or certificate holder or to any other person for medical goods or services,
21 reimbursement or payment shall be provided under any contract, agreement, pol-
22 icy or certificate for diagnosis and treatment by a licensed physician or
23 licensed mental health professional for a biologically based mental illness
24 that is no less extensive than the benefits provided for treatment of any
25 other physical illness.
26 For purposes of this section, "biologically based mental illness" means a
27 person with a DSM diagnosis of schizophrenia and other psychotic disorders,
28 bipolar disorders, major depressive disorders, pervasive developmental disor-
29 ders, obssessive-compulsive disorders or panic disorders.
30 For purposes of this section "mental health professional" means a licensed
31 physician or a person licensed by the state of Idaho for the independent clin-
32 ical practice of social work, counseling, nursing, psychology or psychiatry.
33 SECTION 2. APPLICATION. Except as otherwise provided the requirements of
34 Section 41-1843, Idaho Code, apply to all contracts, agreements, policies and
35 certificates executed, delivered, issued for delivery, continued or renewed in
36 this state on and after July 1, 1998. For purposes of this act all contracts,
37 agreements, policies and certificates are deemed renewed no later than the
38 next yearly anniversary of the contract, agreement, policy or certificate
STATEMENT OF PURPOSE
This proposed legislation defines "biologically based mental
illness" and "mental health professional" and provides for
insurance benefits for mental illness.
The only fiscal impact to the State of Idaho would be related
to the anticipated modest increase in health insurance
premium costs to provide parity benefits to state employees.
Contact: Rep. Bill Deal (208) 332-1000
Rep. Bruce Newcomb (208) 332-1000
STATEMENT OF PURPOSE/FISCAL