Commonwealth Fund January 21, 2026
JoAnn Volk, Madison Harden-Stein

TOPLINES

A 2008 law requiring that insurers cover behavioral health services the same way they cover other health services was strengthened in 2024 to address widespread noncompliance

The federal administration has announced that it will not enforce the 2024 updates, with some states moving to adopt the rule on their own and others caught waiting for further federal guidance

The Mental Health Parity and Addiction Equity Act (MHPAEA) was passed in 2008 to ensure adequate coverage of behavioral health services for people with private insurance. The law prohibits insurers and employer health plans from putting greater limits on access to behavioral health services than on any other medical care. A 2024 federal rule strengthened the standards...

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