<?xml version='1.0' encoding='utf-8'?>
<section article="gin" article_name="Insurance" number="15-851" title_number="15" title_name="Health Insurance" subtitle_number="8" subtitle_name="Required Health Insurance Benefits">
  <level label="a">
    <level label="1">
      <text>This section applies to:</text>
      <level label="i">
        <text>insurers and nonprofit health service plans that provide coverage for substance use disorder benefits or prescription drugs under individual, group, or blanket health insurance policies or contracts that are issued or delivered in the State; and</text>
      </level>
      <level label="ii">
        <text>health maintenance organizations that provide coverage for substance use disorder benefits or prescription drugs under individual or group contracts that are issued or delivered in the State.</text>
      </level>
    </level>
    <level label="2">
      <text>An insurer, a nonprofit health service plan, or a health maintenance organization that provides coverage for substance use disorder benefits under the medical benefit or for prescription drugs through a pharmacy benefits manager is subject to the requirements of this section.</text>
    </level>
  </level>
  <level label="b">
    <text>An entity subject to this section may not apply a prior authorization requirement for a prescription drug:</text>
    <level label="1">
      <text>when used for treatment of an opioid use disorder; and</text>
    </level>
    <level label="2">
      <text>that contains methadone, buprenorphine, or naltrexone.</text>
    </level>
  </level>
</section>
