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New regulation aims to ensure mental health care is accessible and affordable for 175 million Americans with private insurance.

Overview

  • The rule updates the 2008 Mental Health Parity and Addiction Equity Act, requiring equal coverage for mental and physical health care.
  • Health insurers must now evaluate and report on their mental health provider networks and payment structures.
  • Insurers are prohibited from using more restrictive prior authorizations for mental health care than for physical care.
  • The regulation closes a loophole, extending protections to state and local government health plans.
  • Critics argue the rule may increase costs for employer-sponsored health plans and enrollees.