Sec. 607. GAO study on coverage limitations for individuals with serious mental illness and substance use disorders
284 words·~1 min read·
/bill/114/s/2680/is/section-607·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Not later than 3 years after the date of enactment of this Act, the Comptroller General of the United States, in consultation with the Secretary of Health and Human Services, the Secretary of Labor, and the Secretary of the Treasury, shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate a report detailing the extent to which group health plans or health insurance issuers offering group or individual health insurance coverage that provides both medical and surgical benefits and mental health or substance use disorder benefits, and medicaid managed care organizations with a contract under section 1903(m) of the Social Security Act ( 42 U.S.C. 1396b(m) ), comply with section 2726 of the Public Health Service Act ( 42 U.S.C. 300gg–26 ), section 712 of the Employee Retirement Income Security Act of 1974 ( 29 U.S.C. 1185a ), and section 9812 of the Internal Revenue Code of 1986, including— how nonquantitative treatment limitations, including medical necessity criteria, of such plans or issuers comply with such sections; how the responsible Federal departments and agencies ensure that such plans or issuers comply with such sections, including an assessment of how the Secretary of Health and Human Services has used its authority to conduct audits of such plans to ensure compliance; a review of how the various Federal and State agencies responsible for enforcing mental health parity requirements have improved enforcement of such requirements in accordance with the objectives and timeline described in the action plan under section 605; and recommendations for how additional enforcement, education, and coordination activities by responsible Federal and State departments and agencies could better ensure compliance with such sections, including recommendations regarding the need for additional legal authority.
Connectionstraces to 2
Traces to 2 documents
1 reference not yet in our index
- 42 USC 300gg–26
Citation graph
cites case law
Sec. 607
GAO study on coverage limitations for individuals with serious mental illness and substance use disorders
Cite42 USC 300gg–26
Cites 3Cited by 0 across 0 sources