Enhanced Transparency and Parity for Mental Health and Substance Use Benefits.
This act aims to improve access to mental health and substance use disorder treatment by ensuring insurance plans treat these benefits equally to other medical services. It introduces new oversight rules for insurers, simplifies complaint filing, and increases data transparency, helping citizens receive the care they are entitled to.
Key points
Insurers and health plan administrators must annually submit detailed analyses to prove mental health and substance use disorder benefits are treated equally to medical and surgical benefits.
Increased audits of health plans and insurers to verify compliance with parity rules for mental health and substance use benefits.
Establishment of a central consumer parity unit with a toll-free number and website portal to handle complaints about parity violations.
Insurers will be required to respond more quickly to consumer complaints and inquiries, and provide requested information about coverage.
Grants will be provided to states to support health insurance consumer assistance offices, helping citizens with issues related to mental health and substance use benefits.
Expired
Additional Information
Print number: 117_HR_8512
Sponsor: Rep. Porter, Katie [D-CA-45]
Process start date: 2022-07-26