Action in the Regulatory Arena
|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|
|Agency||Nebraska Department of Insurance|
|Title/Description||Nebraska Insurance Notices and Bulletins|
The bulletin discussed insurer obligations in complying with parity requirements stating:
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.”
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).
- Nebraska Insurance Division