Definition


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This page lists some of the action toward parity compliance undertaken by state regulatory agencies since 2008.

Are we missing any actions taken by state regulatory agencies? Let us know at info@paritytrack.org

Action in the Regulatory Arena

10/2017

Primary Focus Medicaid
Agency Department of Health and Human Services
Title/Description The Physical Health Managed Care Basic Benefits Package: Section 4-003.01: General Requirements
Citation 482 Neb. Admin. Code § 4-001
Summary The health plan is required to comply with all applicable state and federal regulations, such as the prohibition against assisted suicide; inappropriate use of funds/profits, lack of mental health parity, and the noncompliance with the provisions of the Hyde Amendment.
Effective Date The new rule was effective 10/16/2017 and expires 10/24/2024

02/2017

Primary Focus Insurance
Agency Nebraska Department of Insurance
Title/Description Nebraska Insurance Notices and Bulletins
Summary

The bulletin discussed insurer obligations in complying with parity requirements stating:
“Insured large group plans, insured small group, individual market plans and student health plan forms are being reviewed for compliance with the regulations of the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008.

The division is reviewing insured large group plans, insured small group, individual market plans and student health plan forms for compliance with the regulations of the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008.

The Department’s review will include filed policies, certificates, and schedules.

Objections will be made to any plan design that imposes a financial requirement or quantitative treatment limitation applicable to mental health or substance use disorder benefits in any classification that is more restrictive than the predominant financial requirement or quantitative treatment limitation of that type applied to substantially all medical/surgical benefits in the same classification.”

Issued Date 2/24/2017

02/2016

The NDOI required all non-grandfathered individual and small employer fully-insured plans to complete this checklist (pdf | Get Adobe® Reader®). To demonstrate compliance with the Affordable Care Act and state insurance law. One of the boxes explained that these plans had to comply with the Federal Parity Law and the parity section of the state insurance law (found at the top of page 3; the parity sections of the state insurance law are summarized at the bottom of this page). The NDOI required plans to complete this checklist in prior years as well (links to those documents are no longer functional).

National Parity Map

View the state parity reports to learn about legislation, regulation, and litigation related to parity implementation

National Parity Map

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Common Violations

In seeking care or services, be aware of the common ways parity rights can be violated.