White House Releases Mental Health Parity Final Rule


On November 8, 2013, the Departments of HHS, Labor, and Treasury jointly issued a final rule implementing the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (MHPAEA).  The MHPAEA requires group health plans and health insurance issuers to ensure that financial requirements such as co-pays, deductibles and treatment limitations (such as visit limits) applicable to mental health and substance use disorder benefits are no more restrictive than the limitations applied to medical and surgical benefits.  The rule finalizes interim final regulations published in the Federal Register on February 2, 2010, and is effective for plan years beginning on or after July 1, 2014.

According to a Center for Consumer Information & Insurance Oversight fact sheet, the law applies to large group health plans.  It does not apply to small group health plans nor does it require large group health plans to cover mental health and substance use disorder benefits.  Moreover, as noted in the fact sheet, Medicare, Medicaid and the Children’s Health Insurance Program (CHIP) are not group health plans.  However, CHIP plans, Medicaid Benchmark Benefit plans, as well as managed care plans that contract with State Medicaid programs to provide services are subject to certain requirements of MHPAEA. 

To view the final rule, please click here.   

Reporter, Lora L. Greene, New York, +1 212 556 2174, lgreene@kslaw.com.

Written by:

Published In:


DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

© King & Spalding | Attorney Advertising

Don't miss a thing! Build a custom news brief:

Read fresh new writing on compliance, cybersecurity, Dodd-Frank, whistleblowers, social media, hiring & firing, patent reform, the NLRB, Obamacare, the SEC…

…or whatever matters the most to you. Follow authors, firms, and topics on JD Supra.

Create your news brief now - it's free and easy »

All the intelligence you need, in one easy email:

Great! Your first step to building an email digest of JD Supra authors and topics. Log in with LinkedIn so we can start sending your digest...

Sign up for your custom alerts now, using LinkedIn ›

* With LinkedIn, you don't need to create a separate login to manage your free JD Supra account, and we can make suggestions based on your needs and interests. We will not post anything on LinkedIn in your name.