Although there has been a flurry of activity over the years at the state level to strengthen compliance, Congress is working as well to address MHPAEA enforcement and compliance nationwide.
One factor in this equation has been lack of mental health insurance coverage—something the Mental Health Parity and Addiction Equity Act of 2008 was designed to help by requiring health insurance companies to treat medical and mental health benefits equally.
from the Congressional Budget Office—a nonpartisan federal office that produces budgetary and economic analyses—found that private insurance companies pay 13 percent to 14 percent less for mental health care than Medicare does.to strengthen compliance, Congress is working as well to address MHPAEA enforcement and compliance nationwide.Introduced by Sens. Bill Cassidy and Chris Murphy and Reps.
Federal oversight agencies could then request these analyses if they receive a complaint concerning mental health or substance use disorder coverage. Additionally, they would select 50 health plans or insurers for random audit. The resulting annual report to Congress would detail their findings and course of action for health plans and insurers found to be noncompliant.Similar to the Mental Health Parity Compliance Act, this legislation, introduced by Sen. Elizabeth Warren and Rep.
This bill would also require federal agencies to perform random audits of health plans and insurers and collect information from these entities about denial rates for mental health claims, substance use disorder claims and medical/surgical claims.Introduced by Reps. Donald Norcross , Joe Courtney and Ann Kuster , this legislation would allow the Department of Labor to issue civil monetary penalties on health plans and insurers that violate the MHPAEA.
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