Vol. 24 Annals of Health Law 284
B. Exclusions
1. State Exclusions on MHIP/OP and SUIP/OP Benefits
States with No Listed Exclusions by Benefit
Benefit Number of States States
MHIP 24
AL, AZ, AR, CA, CT, DE, DC, HI, ID, KS,
MA, MI, MN, MT, NE, NV, NM, NY, OK,
SC, SD, TX, WA, WI
MHOP 23
AL, AZ, AR, CA, CT, DE, DC, HI, KS,
MA, MI, MN, NE, NV, NM, NY, OK, PA,
SC, SD, TX, WA, WI
SUIP 22
AL, AZ, AR, CA, CT, DE, DC, KS, LA,
MA, MI, MN, MT, NV, NM, NY, OK, SC,
SD, TX, WA, WI
SUOP 23
AL, AZ, AR, CT, DE, DC, FL, GA, KS, LA,
MA, MI, MN, NV, NM, NY, NC, OK, SC,
SD, TX, WA, WI
All 19
AL, AZ, AR, CT, DE, DC, KS, MA, MI,
MN, NV, NM, NY, OK, SC, SD, TX, WA,
WI
The majority of states (thirty-two out of fifty-one) listed one or more exclusions for at least one of the four benefits. A little over one-third (nineteen
out of fifty-one) states listed no exclusions for any of the benefits. Among
the states that did include exclusions, many common trends were visible in
the state-by-state benchmark plans. Many states excluded various types of
counseling from their MHIP/MHOP benefits that could not be deemed
“medically necessary.” These included:
Special education services, educational testing and programs, or
career counseling
Martial, divorce, family, and sex counseling or therapy
Social maladjustment treatment
Religious and pastoral counseling
