HR 4276 · 114th Congress · Health

Behavioral Health Coverage Transparency Act of 2015

Introduced 2015-12-16· Sponsored by Rep. Kennedy, Joseph P., III [D-MA-4]· House

Bill Progress

Introduced
2
Committee
3
House Vote
4
Senate
5
Enacted
Latest: Referred to the Subcommittee on Health, Employment, Labor, and Pensions.(2016-03-23)

Plain Language Summary

[AI summary unavailable — showing source text] Behavioral Health Coverage Transparency Act of 2015 This bill amends the Public Health Service Act, Employee Retirement Income Security Act of 1974 (ERISA), and Internal Revenue Code to direct the Departments of Health and Human Services (HHS), Labor, and the Treasury to require group health plans and health insurers to disclose the analyses performed to ensure compliance of plans or coverage with the law and regulations. Disclosures must include findings and conclusions regarding whether nonquantitative treatment limitations (e.g., tiered benefits, step therapy, or preauthorization) applied to mental health or substance use disorder benefits are comparable to, and applied no more stringently than, such limitations on medical and surgical benefits. HHS, Labor, and Treasury must: (1) issue guidance on the process for current and potential participants and beneficiaries to file formal complaints of plans or insurers being in violation of the requirement for parity between mental health and substance use disorder benefits and medical and surgical benefits, (2) conduct audits of plans and insurers to determine compliance with parity requirements and publish information from those audit…

Summarized by Claude AI · Non-partisan · For informational purposes only

Cosponsors (11)

11 Democrats