Reuters (9/9, Niasse) reports, “The Biden Administration said on Monday it had finalized a regulation to help ensure that the 175 million Americans with private health insurance have access to affordable mental health services.” The 2008 Mental Health Parity and Addiction Equity Act “requires insurers and corporate-backed health plans to provide access and payment structures for mental health care services on par with other medical services.” But, “in practice, that is often not the case.” The final rule “is aimed at closing the gaps by requiring health insurers to evaluate which mental health [professionals’]services are covered by their plans, how much those [professionals] are paid, as well as…how often they require or deny prior authorizations for coverage.”
CNN (9/9, Hassan , Gumbrecht ) reports, “Most provisions in the rule will apply to group health plans and health insurance issuers for plan years starting January 1 or after.” Under the “rule, mental health and substance use disorder care on private insurance plans should be covered at the same level as physical health benefits.” That could mean “adding more mental health and substance use professionals to their networks or reducing red tape for [professionals] to deliver care,” a White House fact sheet said.
The Hill (9/9, Weixel ) reports, “The health insurance industry is likely to challenge the rule, saying the administration did not have the authority to issue it to begin with.” The industry “argued the proposed requirements were unworkable and an unfunded government mandate that would cause employers to stop covering behavioral health services.”
Modern Healthcare (9/9, Early , Subscription Publication) reports, “The regulation also extends mental health parity requirements to state and municipal employee benefits programs, which had been exempt under the Mental Health Parity and Addiction Equity Act of 1996, and to individual market health insurance policies.” American Psychiatric Association CEO and Medical Director Marketa Wills, MD, said, “This is a big step forward to hold insurance plans accountable by ensuring the law’s intent is fulfilled and that more individuals will be able to access the mental health and substance use treatment they need.”
Psychiatric News (9/9) reports Wills also said, “APA has always been a strong advocate for mental health parity, and since its enactment, APA has worked tirelessly to advocate for compliance with and enforcement of the federal parity law.”
Related Links:
— “Biden administration finalizes rule to strengthen mental health parity law,”Amina Niasse , Reuters, September 9, 2024