“Insurance companies often put up bureaucratic hurdles that make it nearly impossible for patients to access mental health care. It’s against the law, and that’s why I’ve long lobbied for tougher enforcement of our federal parity laws. This legislation would take important steps to ensure that insurers who use red tape to deny coverage are held accountable and that patients are well informed of their right to mental health care. I continue to push for further improvements to make parity a reality,” Murphy said.
“While mental health parity has been the law for many years,
In February this year, departments released their first report following the implementation of these new provisions and documented significant compliance gaps, confirming that much more needs to be done to strengthen enforcement. of the law and protect consumers.
The updated legislation, which builds on the provisions adopted in the CAA, would:
* Increase transparency by requiring insurance schemes and third-party administrators to submit annual reports containing information on any non-quantitative processing limitations and disclose additional data on denial rates, reimbursement rates and adequacy of network ;
*Encourage compliance by ensuring that HHS, DOL and
* Establish a toll-free phone number and online consumer parity portal to provide patients and providers with a centralized website hosting information about patient rights, results of monitoring efforts, and resources to ensure that consumers of health care receive the protections guaranteed to them by law; and
* Support consumers by encouraging collaboration among federal agencies and with states, including providing grants to establish, expand, or provide support to health insurance consumer assistance offices and insurance ombudsman programs sickness.
Last year, Murphy introduced the Parity Implementation Assistance Act with the U.S. Senator
It has received support from more than 50 advocacy organizations and experts.
“The Behavioral Health Coverage Transparency Act builds on the 2020 amendments to the Parity Act and requires greater accountability from health plans and insurers,” said
“Awarding new federal funds to states to establish independent consumer assistance offices will ensure individuals and families who encounter barriers to insurance have the practical support they need to overcome them,” Weber said. “Coupled with stronger federal enforcement of carrier compliance requirements and greater transparency, this bill will help address the growing mental health needs and escalating overdose crisis in communities across the country. our country.