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Administration Proposes Rules to Promote Mental Health Coverage
Courthouse News Service Link to more items from this source
[Guidance Overview]
July 26, 2023

"Congress updated the legislation in 2020 to require companies to conduct analyses of their plans to ensure that access to mental health and substance abuse treatments are not more restrictive than other benefits. [The] proposal, which still requires a public comment period, would direct insurers to also evaluate the outcomes of their coverage rules.... [T]he evaluation would examine a provider's network, payment for out-of-network providers and how often prior authorization is required and its rate of denial. Such analysis ... will show where plans are failing to meet legal requirements and thus must improve their plans."

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