(12) An automobile medical payment policy.
* * *
"Insured." A person on whose behalf an insurer is obligated
to pay covered health care expense benefits or provide health
care services under an health insurance policy. The term
includes a policyholder, subscriber, certificate holder, member,
dependent or other individual who is eligible to receive health
care services through a health insurance policy.
* * *
"MH/SUD." Mental health and substance use disorder.
"MH/SUD parity Federal guidance." Federal guidance issued
pursuant to or in conjunction with MHPAEA and the MH/SUD parity
Federal regulations.
"MH/SUD parity Federal regulations." Regulations promulgated
by the Federal Government to implement MHPAEA, including 45 CFR
146.136 (relating to parity in mental health and substance use
disorder benefits), 147.160 (relating to parity in mental health
and substance use disorder benefits) and Pt. 156 (relating to
health insurance issuer standards under the Affordable Care Act,
including standards related to exchanges), as amended.
"MHPAEA." The Paul Wellstone and Pete Domenici Mental Health
Parity and Addiction Equity Act of 2008 (Public Law 110-343, 122
Stat. 3881), originally enacted as section 2705 of the Public
Health Service Act (58 Stat. 682, 42 U.S.C. § 300gg-5), as
renumbered and amended by the Patient Protection and Affordable
Care Act (Public Law 111-148, 124 Stat. 119), together with the
Health Care and Education Reconciliation Act of 2010 (Public Law
111-152, 124 Stat. 1029) as section 2726 of the Public Health
Service Act (42 U.S.C. § 300gg-26), as further amended by the
enhanced compliance with the MH/SUD coverage requirements under
§ 13001 of the 21st Century Cures Act (Public Law 114-255), as
amended.
* * *
"Treatment limitation." A limit on the scope of a benefit or
duration of treatment for a covered service.
* * *
Section 2. Section 604-B of the act is amended to read:
Section 604-B. Adoption of Federal acts.
Insurers shall comply with the Federal acts as contained in
sections [2701, 2702, 2705, 2707, 2721, 2753 and 2754 of the
Public Health Service Act (58 Stat. 682, 42 U.S.C. §§ 300gg,
300gg-1, 300gg-5, 300gg-7, 300gg-21, 300gg-53 and 300gg-54).]
2704, 2705, 2722, 2726, 2728, 2753 and 2754 of the Public Health
Service Act (58 Stat. 682, 42 U.S.C. §§ 300gg-3, 300gg-4, 300gg-
21, 300gg-26, 300gg-28, 300gg-53 and 300gg-54) and their
implementing and related Federal regulations.
Section 3. The act is amended by adding sections to read:
Section 604.1-B. Annual attestation by insurers.
(a) Statement regarding MHPAEA compliance.--For the form for
each health insurance policy offered, issued or renewed by an
insurer in this Commonwealth to which MHPAEA applies, the
2020/90SFR/HB1696A05248 - 2 -
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