The Examination Reports reflect an 18-month look at the companies' adherence to the parity law during the exam period of January 2016 to July 2017. The Parity Act is a federal law that requires health insurance companies to cover mental health and substance use disorder (MH/SUD) services in parity with medical and surgical (M/S) services.
Legally, plans compliant with parity law ensure that no standard is being applied more stringently for mental health or SUD benefits than for medical or surgical benefits. One of the most significant cases of mental health parity litigation was Wit v United Behavioral Health (UBH) in North California in 2019.
The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) is a federal law that generally prevents group health plans and health insurance issuers that provide mental health or substance use disorder (MH/SUD) benefits from imposing less favorable benefit limitations on those benefits than on medical ...
During the 2017 Texas Regular Legislative Session, lawmakers passed an important bill related to mental health parity (House Bill 10). The new law, signed by Governor Abbott, aims to address ongoing challenges with mental health and substance use disorder “parity” protections. The goal is for more insured Texans have equal access to both ...
Mental Health Parity Examinations Exam Period January 2016 –July 2017 Tyler Brannen February 14, 2020. Presentation Agenda •Market conduct exams - general •Mental health parity law •Public and policymaker concerns •NHID mental health parity exam & findings •Next steps 2/14/2020 Page 2.
1/3/2017 5 MHP Pre-ACA Mental Health Parity Act of 1996 (MHPA) Required parity in aggregate lifetime and annual dollar limits for mental health (MH) benefits and medical/surgical benefits Applied to employment-related group health plans and health insurance coverage offered in connection with a group plan –large group plans
For the five years ending in 2017, ... "Molina complies with mental health parity laws," say spokeswoman Danielle Smith, and it "applies industry-recognized medical necessity criteria in any ...
HHS Study: Consistency of Large Employer and Group Health Plan Benefits with Requirements of the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 HHS Study: Short-Term Analysis to Support Mental Health and Substance Use Disorder Parity Implementation
State Parity Laws. If a state has a stronger state parity law, then health insurance plans regulated in that state must follow those laws. For example, if state law requires plans to cover mental health conditions, then they must do so, even though federal parity makes inclusion of any mental health benefits optional.
The law, otherwise known as the Mental Health Parity Act of 1996 (Public Law 104-204), prohibits group health plans that offer mental health benefits from imposing more restrictive annual or lifetime limits on spending for mental illness than are imposed on coverage of physical illnesses.