Biden administration seeks to compel insurers to cover mental healthcare


https://mailchi.mp/c02a553c7cf6/the-weekly-gist-july-28-2023?e=d1e747d2d8

On Tuesday, the White House issued a proposal to enhance the 2008 Mental Health Parity and Addiction Equity Act, which requires insurers to cover mental healthcare at the same level as physical care.

Health plans would be required to evaluate mental health coverage policies, including network size, prior authorization rules, and out-of-network payment policies.

The proposal also includes closing a loophole in the original law that excludes non-federal government health plans from these parity standards. 

The Gist: Fewer than half of the one in five US adults experiencing mental illness in 2020 received care for their illness, and fewer than one in 10 received treatment for a substance abuse disorder.

But while insurance companies’ failure to establish adequate mental health networks is part of the problem, there are other, larger access issues at play, including the nationwide shortage of mental health clinicians, many of whom don’t accept insurance.

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