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Enhanced Transparency and Parity in Mental Health and Substance Use Coverage

This act aims to strengthen parity rules for mental health and substance use disorder benefits. It introduces new obligations for insurers and health plans, increasing oversight and transparency regarding claim denials, network adequacy, and reimbursement rates. Citizens will gain access to a centralized consumer parity unit, facilitating the reporting of violations.
Key points
Insurers and health plans must annually submit comparative analyses of mental health, substance use, and medical/surgical benefits.
The Secretary will conduct randomized audits of health plans (no fewer than 40 per year) to determine compliance.
A consumer parity unit will be established, with a toll-free number and online portal, to handle complaints.
Health plans will be required to respond to consumer requests for information concerning their coverage within 7 days.
Grants will be provided to states to support health insurance consumer assistance offices and ombudsman programs.
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Expired
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Additional Information
Print number: 117_S_4616
Sponsor: Sen. Warren, Elizabeth [D-MA]
Process start date: 2022-07-26
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OFFICIAL LEGAL TITLE

Behavioral Health Coverage Transparency Act of 2022

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 117_S_4616.

Which chamber initiated this legislation?

This legislation was initiated in the Senate.

When did the legislative process begin?

The process officially started on 2022-07-26.

What are the main provisions?

Key points include:

  • Insurers and health plans must annually submit comparative analyses of mental health, substance use, and medical/surgical benefits.
  • The Secretary will conduct randomized audits of health plans (no fewer than 40 per year) to determine compliance.
  • A consumer parity unit will be established, with a toll-free number and online portal, to handle complaints.
  • Health plans will be required to respond to consumer requests for information concerning their coverage within 7 days.
  • Grants will be provided to states to support health insurance consumer assistance offices and ombudsman programs.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Sen. Warren, Elizabeth [D-MA].

What is the latest detailed status?

The latest detailed status is: Introduced in Senate

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2026-01-02.

CATEGORIES

Health