SB 330

Requires every local management entity/managed care organization (LME/MCO) to submit the following to the Department of Health and Human Services (DHHS) quarterly beginning October 1, 2025, and for four years thereafter: (1) number of individuals served by the LME/MCO who had an emergency department stay of more than 24 hours and the length of stay for each individual; (2) number, and percentage of, individuals served by the LME/MCO who were unable to access a healthcare provider both willing and able to initiate services within 30 days of the approval of those services; (3) amount of funds retained by the LME/MCO for services approved for an individual served by the LME/MCO but not used due to limited access to appropriate or available providers; (4) number of healthcare providers in the LME/MCO's network by provider type and any subsequent change; and (5) number of individuals deemed eligible for mental, behavioral, or substance use services pursuant to contract between DHHS and the LME/MCO who are not receiving any or all of those services through the LME/MCO, except when the needed service is made available by another payor.