US SB2647 | 2015-2016 | 114th Congress
Status
Spectrum: Partisan Bill (Democrat 5-0)
Status: Introduced on March 7 2016 - 25% progression, died in committee
Action: 2016-03-07 - Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Pending: Senate Health, Education, Labor, And Pensions Committee
Text: Latest bill text (Introduced) [PDF]
Status: Introduced on March 7 2016 - 25% progression, died in committee
Action: 2016-03-07 - Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Pending: Senate Health, Education, Labor, And Pensions Committee
Text: Latest bill text (Introduced) [PDF]
Summary
Behavioral Health Coverage Transparency Act of 2016 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 specified information regarding compliance of plans or coverage with requirements for parity between mental health and substance use disorder benefits and medical and surgical benefits. Information that must be disclosed includes the specific analyses performed to ensure parity, findings and conclusions regarding parity in applying nonquantitative treatment limitations (e.g., tiered benefits, step therapy, or preauthorization), and a comparison of denials of claims between types of 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, and (2) conduct audits of plans and insurers to determine compliance with parity requirements and publish information from those audits. HHS must establish a consumer parity unit to collect and respond to complaints and provide information to consumers on parity. Plans and insurers must respond to consumer complaints received by the unit. State health insurance commissioners must report on compliance of plans and insurers with parity requirements and include a comparison of benefits. The Government Accountability Office must report on HHS, Labor, and Treasury efforts to enforce parity.
Title
Behavioral Health Coverage Transparency Act of 2016
Sponsors
Sen. Elizabeth Warren [D-MA] | Sen. Sherrod Brown [D-OH] | Sen. Al Franken [D-MN] | Sen. Richard Blumenthal [D-CT] |
Sen. Tammy Baldwin [D-WI] |
History
Date | Chamber | Action |
---|---|---|
2016-03-07 | Senate | Read twice and referred to the Committee on Health, Education, Labor, and Pensions. |
Subjects
Administrative law and regulatory procedures
Department of Health and Human Services
Department of the Treasury
Drug, alcohol, tobacco use
Government information and archives
Government studies and investigations
Health
Health care costs and insurance
Health care coverage and access
Insurance industry and regulation
Mental health
State and local government operations
Department of Health and Human Services
Department of the Treasury
Drug, alcohol, tobacco use
Government information and archives
Government studies and investigations
Health
Health care costs and insurance
Health care coverage and access
Insurance industry and regulation
Mental health
State and local government operations
US Congress State Sources
Type | Source |
---|---|
Summary | https://www.congress.gov/bill/114th-congress/senate-bill/2647/all-info |
Text | https://www.congress.gov/114/bills/s2647/BILLS-114s2647is.pdf |