№ lp_2_3_60288
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Compliance guidance outlining federal parity requirements for mental health and substance use disorder benefits under MHPAEA and related laws, including applicability, coverage standards, financial and treatment limitations, disclosure obligations, and enforcement context.
Title:
Self-Compliance Tool for the Mental Health Parity and Addiction Equity Act (MHPAEA)
Subject:
Mental health parity and addiction equity compliance
Type of document:
Compliance program guidance document
Issuing authority:
U.S. Department of Labor (DOL)
Related authorities:
U.S. Department of Health and Human Services (HHS); U.S. Department of the Treasury
Legal framework:
Mental Health Parity and Addiction Equity Act (MHPAEA); Employee Retirement Income Security Act of 1974 (ERISA); Patient Protection and Affordable Care Act; 21st Century Cures Act
Applicable to:
Group health plans; group health insurance issuers; individual market health insurance issuers; state regulators
Scope:
Federal minimum standards for parity between mental health or substance use disorder benefits and medical/surgical benefits
Update frequency:
Biennial updates by DOL
Structure:
Sections A–H and Appendices I–II
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2024
Region / City:
Maryland
Topic:
Mental Health Parity, Addiction Equity
Document Type:
Compliance Reporting Instructions
Organization / Institution:
Maryland Insurance Administration (MIA)
Author:
Maryland Insurance Administration
Target Audience:
Carriers and entities involved in reporting
Period of Validity:
2024 Reporting Period
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2024
Region / City:
Maryland
Topic:
Mental Health Parity, Addiction Equity
Document Type:
Compliance Reporting Instructions
Organization / Institution:
Maryland Insurance Administration (MIA)
Author:
Maryland Insurance Administration
Target Audience:
Carriers and entities involved in reporting
Period of Validity:
2024 Reporting Period
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2017
Region / city:
Minnesota
Theme:
Taxation, Legislation
Document type:
Press Release
Organization / institution:
Minnesota Automatic Merchandising Council (MAMC), NAMA
Author:
Roni Moore, Kelly Doherty
Target audience:
Vending operators, retail industry professionals, policy makers
Period of action:
2017
Approval date:
May 31, 2017
Modification date:
Not specified
Subject:
Dearness relief compensation for employees and retirees of public sector banks
Country:
India
Legal framework:
Articles 14 to 16 of the Constitution of India
Sector:
Public sector banking
Topic:
Dearness relief, consumer price index, parity and equity principles
Type of document:
Analytical memorandum with comparative tables
Key concepts:
Per slab rate, load rate, basic pension, CPI (1960=100), bipartite settlement
Reference index:
Consumer Price Index (Base 1960=100)
Settlement periods discussed:
4th, 5th, 6th, 7th, 8th and 9th Bipartite Settlements
Judicial reference:
Civil Appeal Nos. 5252–5255 of 2018
Individuals mentioned:
Mrs. Santipriya Roy; Kalptru Bhattacharya
Illustrative retirement date:
30.9.2002
Illustrative merger level:
1684 points
Compensation structure:
Slab-based dearness relief linked to CPI rise
Comparative analysis:
7th versus 8th Bipartite retirees
Issue raised:
Alleged violation of parity in 8th Bipartite settlement
Data presentation:
Sample comparison tables with slab rate deviations and DA outflows
Year:
2023–2024
Region / Jurisdiction:
New York State, US
Document Type:
Legislative Compliance Report
Governing Law:
Insurance Law § 343
Responsible Agency:
Department of Financial Services, New York State
Target Entities:
Insurers, corporations under Article 43, managed care organizations under Article 44, PHSPs in commercial individual market
Reporting Periods:
January 1, 2023 – December 31, 2023; January 1, 2024 – December 31, 2024
Submission Deadline:
July 1, 2025
Data Format:
Microsoft Excel
Scope of Data:
Individual, group, and blanket policies with comprehensive coverage excluding Medicaid, Medicare, Federal Employee Insurance, dental and vision benefits, and other specified exclusions
Compliance Standards:
Mental Health Parity and Addiction Equity Act (MHPAEA)
Publication:
DFS website
Review Process:
DFS review for quantitative and non-quantitative treatment limitations compliance, possible additional information requests
Data Categories:
Demographic information, utilization review (retrospective, prior authorization, concurrent), rate of appeals, claim payments, behavioral health representatives, cost share comparison, participating providers, external appeals, attestation and contact information
Year:
2025
Jurisdiction:
United States
Regulation:
Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), WAC 284-43
Document Type:
Compliance Certification
Issuing Authority:
Health Insurance Issuers
Target Audience:
ACA Individual and Small Group Market Plans
Coverage:
Mental health and substance use disorder benefits compared to medical/surgical benefits
Requirements Addressed:
Financial requirements and treatment limitations parity
Scope:
Quantitative Treatment Limitations (QTL) and Non-Quantitative Treatment Limitations (NQTL)
Submission Requirement:
Included with Plan Year 2025 Rate Filings
Benefit Classifications:
Inpatient In-Network, Inpatient Out-of-Network, Outpatient In-Network (Office Visits and Other), Outpatient Out-of-Network (Office Visits and Other), Emergency Care, Prescription Drugs
Analysis Method:
Classification-by-classification parity testing with actuarial projection of allowed amounts
Year:
2026
Region:
Kentucky, United States
Subject:
Mental health parity, health insurance regulation
Document type:
Legislative act
Governing body:
General Assembly of the Commonwealth of Kentucky
Author:
Kentucky Legislature
Effective date:
Upon enactment
Reporting deadline:
January 31 annually
Relevant laws:
KRS 304.17A-005, KRS 304.17A-660, KRS 304.17A-670 to 304.17A-676
Compliance reference:
Mental Health Parity and Addiction Equity Act of 2008, 45 CFR 146.136, 45 CFR 147.160, 45 CFR 156.115(a)(3)
Intended audience:
Insurers issuing health benefit plans
Year:
2019
Region / City:
Minnesota
Theme:
Mental Health Legislation
Document Type:
Legislative Update
Author:
NAMI Minnesota
Target Audience:
Minnesota residents, policymakers, mental health advocates
Period of Validity:
March 31, 2019
Approval Date:
March 31, 2019
Date of Changes:
N/A
Context:
Legislative report detailing the progress of mental health parity enforcement legislation in Minnesota, including updates on key bills and legislative hearings.
Year:
2010
Region / City:
United States
Topic:
Mental health disparities among African American women
Document Type:
Research article
Institution:
Wright State University; University of Wisconsin; St. Paul School of Theology; University of Pittsburgh; University of Michigan; University at Albany
Authors:
Pamela R. Cone; Earlise C. Ward; Le Ondra Clark; Susan Heidrich; Emilie M. Townes; Daniel Rosen; Kyaien Conner; Richard M. Tolman; Lynn A. Warner; Mark Kaplan; Jennifer Sasser
Target Audience:
Scholars, healthcare professionals, policymakers
Data Source:
U.S. Department of Health and Human Services, Office of Minority Health; various academic studies
Population:
African American women with mental illness
Key Issues:
Social stigma, healthcare access, cultural determinants, biopsychosocial factors, economic and educational disparities, delayed diagnosis
Study Period:
1996–2010
Methodology:
Literature review and participant studies, statistical analysis of mental health prevalence and treatment access
Year:
2016
Region / City:
International
Theme:
Gender parity, Disability rights, United Nations
Document Type:
Call to action
Organization:
GQUAL Campaign
Author:
Not specified
Target Audience:
Governments, civil society, women’s and disability rights organizations
Action Period:
2017–2018
Date of Approval:
Not specified
Date of Revision:
Not specified
Year:
2026
Region / State:
West Virginia, USA
Subject:
Mental Health Parity, Health Insurance Coverage
Document Type:
Legislative Fiscal Note / Bill
Legislative Body:
West Virginia Legislature
Introduced By:
Delegate Pushkin
Target Audience:
Public employees, insurers, policymakers
Effective Date:
June 1, 2026
Reporting Requirements:
Annual report to Joint Committee on Government and Finance
Related Codes / Sections:
§5-16-7h, §33-15-4y, §33-16-3ii, §33-24-7z, §33-25-8w, §33-25A-8z