Stronger Enforcement and Fines for Mental Health Coverage Discrimination.
This law strengthens rules ensuring mental health and addiction benefits are covered equally to physical health benefits. It introduces financial penalties for health insurers and plan administrators who violate these parity rules. This change aims to improve citizens' access to necessary mental health and substance use disorder treatments by holding more entities accountable.
Key points
New civil monetary penalties (fines) are established for failing to provide equal coverage for mental health and physical health benefits.
Liability is expanded beyond insurers to include plan sponsors, third-party administrators, and pharmacy benefit managers (PBMs).
The goal is to eliminate unfair barriers and ensure health plans comply fully with existing mental health parity laws.
Status:
Expired
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