Sec. 807. GAO study on preventing discriminatory coverage limitations for individuals with serious mental illness and substance use disorders
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Not later than 2 years after the date of the enactment of this Act, the Comptroller General of the United States shall submit to Congress and make publicly available a report detailing Federal oversight of group health plans and health insurance coverage offered in the individual or group market (as such terms are defined in section 2791 of the Public Health Service Act ( 42 U.S.C. 300gg–91 )), including Medicaid managed care plans under section 1903 of the Social Security Act ( 42 U.S.C. 1396b ), to ensure compliance of such plans and coverage with sections 2726 of the Public Health Service Act ( 42 U.S.C. 300gg–26 ), 712 of the Employee Retirement Income Security Act of 1974 ( 29 U.S.C. 1185a ), and 9812 of the Internal Revenue Code of 1986 (in this section collectively referred to as the parity law ), including— a description of how Federal regulations and guidance consider nonquantitative treatment limitations, including medical necessity criteria and application of such criteria to medical, surgical, and primary care, of such plans and coverage in ensuring compliance by such plans and coverage with the parity law; a description of actions that Federal departments and agencies are taking to ensure that such plans and coverage comply with the parity law; and the identification of enforcement, education, and coordination activities within Federal departments and agencies, including educational activities directed to State insurance commissioners, and a description of how such proper activities can be used to ensure full compliance with the parity law.
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- 42 USC 300gg–91
- 42 USC 300gg–26
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Sec. 807
GAO study on preventing discriminatory coverage limitations for individuals with serious mental illness and substance use disorders
Cite42 USC 300gg–91
Cite42 USC 300gg–26
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