AB 2011: Nonquantitative treatment limitations.

This bill aims to prohibit health care service plans and insurers from imposing nonquantitative treatment limitations (NQTLs) on mental health or substance use disorder benefits based on discriminatory factors or evidentiary standards. To ensure NQTLs are fair and equitable, health care service plans and insurers must collect and evaluate relevant data to assess their impact on access to mental health and substance use disorder benefits and medical/surgical benefits. They must also perform and document comparative analyses of NQTLs and submit the analyses to the relevant departments by January 1, 2027, and annually thereafter. If a department determines noncompliance, the health care service plan or insurer must notify all enrollees or insureds of its noncompliance and may be required to direct the plan or insurer not to impose the NQTL. A violation of these requirements is considered a…