(1) As used in this section, "local education agency" means: (a) a school district; (b) a charter school; or (c) the Utah Schools for the Deaf and the Blind.

(a) a school district;

(b) a charter school; or

(c) the Utah Schools for the Deaf and the Blind.

(2) A health benefit plan that is entered into or renewed on or after January 1, 2020, may not deny a claim for a covered mental health service solely because the mental health service is provided: (a) at a local education agency building or facility; or (b) by an employee or contractor of a local education agency.

(a) at a local education agency building or facility; or

(b) by an employee or contractor of a local education agency.

(3) Nothing in this section: (a) prohibits a health benefit plan from denying a claim: (i) by an individual that is not a licensed health care provider; (ii) by a health care provider practicing outside the health care provider's scope of practice; (iii) that is submitted by a person that is not a network provider; (iv) for a mental health service that is not medically necessary as determined by the health benefit plan; or (v) that does not otherwise comply with the health benefit plan's policies; or (b) requires a health benefit plan to pay a claim for a service that is: (i) provided under an individualized education program as defined in Section 53E-4-301; or (ii) administrative in nature to the local education agency.

(a) prohibits a health benefit plan from denying a claim: (i) by an individual that is not a licensed health care provider; (ii) by a health care provider practicing outside the health care provider's scope of practice; (iii) that is submitted by a person that is not a network provider; (iv) for a mental health service that is not medically necessary as determined by the health benefit plan; or (v) that does not otherwise comply with the health benefit plan's policies; or

(i) by an individual that is not a licensed health care provider;

(ii) by a health care provider practicing outside the health care provider's scope of practice;

(iii) that is submitted by a person that is not a network provider;

(iv) for a mental health service that is not medically necessary as determined by the health benefit plan; or

(v) that does not otherwise comply with the health benefit plan's policies; or

(b) requires a health benefit plan to pay a claim for a service that is: (i) provided under an individualized education program as defined in Section 53E-4-301; or (ii) administrative in nature to the local education agency.

(i) provided under an individualized education program as defined in Section 53E-4-301; or

(ii) administrative in nature to the local education agency.