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HB 656

Mental health & substance abuse disorders; network adequacy standards, comparative analyses.

2026 Regular Session Introduced by Bonita Anthony and 8 co-sponsors

HB 656 requires Virginia health insurers to establish and maintain adequate mental health and substance abuse provider networks with comparative analyses to ensure patient access.

Acts of Assembly Chapter text (CHAP0652)
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Bill Summary · HB 656

Legislative bill overview

HB 656 establishes network adequacy standards for mental health and substance abuse disorder treatment providers in Virginia's health insurance plans. The bill requires insurers to conduct comparative analyses of their provider networks to ensure patients have adequate access to mental health and substance abuse services.

Why is this important

Mental health and substance abuse treatment access remains a significant public health challenge, with many patients facing long wait times or limited in-network provider options. This bill aims to standardize how insurers measure and maintain adequate provider networks, potentially reducing gaps in care and improving treatment accessibility across the state.

Potential points of contention

  • Definition and enforcement: The bill's effectiveness depends on how "adequate" network standards are defined and whether there are meaningful enforcement mechanisms and penalties for non-compliance
  • Cost implications: Insurers may argue that stricter network adequacy requirements increase administrative burden and costs, potentially raising premiums or reducing provider reimbursement rates
  • Provider participation: Expanding required networks may be difficult in rural areas or specialty areas (like addiction medicine) where there are already provider shortages, potentially forcing insurers to contract with distant or limited providers

Compiled from official sources — confirm details with the bill’s official record.

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