American Hospital Association August 4, 2023
For years, many commercial health insurers treated coverage for mental health or substance use disorders (SUD) very differently than for medical and surgical benefits.
Congress’ passage of the Mental Health Parity and Addiction Equity Act of 2008 was intended to level the playing field by prohibiting burdensome prior authorization requirements and other management techniques that made mental health claims much more difficult to get approved and paid. But compliance with the 15-year-old law has not been uniform as some insurers found ways around its provisions.
Last week, we were pleased that the Administration released a new proposed rule that would put some teeth back into the 2008 act by further clarifying what insurers may or may not do in terms...