Mental Health Parity and Addiction Equity Act (MHPAEA) (B) Working Group

2026 Charges

The Mental Health Parity and Addiction Equity Act (MHPAEA) (B) Working Group will:
1. Monitor, report and analyze developments related to the MHPAEA, and make recommendations regarding NAIC strategy and policy with respect to those developments.
2. Monitor, facilitate and coordinate best practices with the states, the DOL, and the U.S. Department of Health and Human Services (HHS) related to the MHPAEA.
3. Develop and provide resources to the states to support a greater understanding of laws, policies, and market conditions related to the MHPAEA.
4. Provide supplemental resources to support documentation and reporting in the MHPAEA chapter of the Market Regulation Handbook.
5. Coordinate with and provide input to Market Regulation and Consumer Affairs (D) Committee groups, as necessary, regarding mental health parity market conduct examinations.

Upcoming Meeting

Public Conference Call
Thursday, April 02, 2026
1:00 PM ET, 12:00 PM CT, 11:00 AM MT, 10:00 AM PT
Expected Duration: 1 hr
Webex Link

Topic: Working Group activities for 2026

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Public Conference Call
Thursday, April 02, 2026
1:00 PM ET, 12:00 PM CT, 11:00 AM MT, 10:00 AM PT
Expected Duration: 1 hr
Webex Link

Topic: Working Group activities for 2026

There are no meeting materials at this time.

RESOURCES

New Hampshire Reports: https://www.nh.gov/insurance/consumers/parity-examination-reports.htm

Massachusetts Attorney General's office MHPAEA agreements: https://www.mass.gov/lists/attorney-generals-office-behavioral-health-parity-agreements

Rhode Island Market Conduct Exams Reports for Behavioral Health Coverage: http://www.ohic.ri.gov/ohic-regulation-enforcing.php

2020 U.S. Department of Labor Compliance Tool Preface: https://www.dol.gov/sites/dolgov/files/EBSA/laws-and-regulations/laws/mental-health-parity/self-compliance-tool-preface.pdf

2020 U.S. Department of Labor Compliance Tool: https://www.dol.gov/sites/dolgov/files/EBSA/laws-and-regulations/laws/mental-health-parity/self-compliance-tool.pdf

Compliance Assistance Resource Kit October 2020: MHP Resource Kit Oct 2020.pdf

U.S. Department of Labor Presentation on the 2020 Compliance Tool: MHP Self-Compliance Tool DOL PowerPoint Oct 2020.pdf

Milliman Report on Reimbursement as an NQTL: https://milliman-cdn.azureedge.net/-/media/milliman/importedfiles/ektron/nqtl_guidelines_white_paper_10-07-19.ashx

U.S. Department of Labor (DOL) 2020 Report to the U.S. Congress: https://www.dol.gov/sites/dolgov/files/EBSA/laws-and-regulations/laws/mental-health-parity/dol-report-to-congress-parity-partnerships-working-together.pdf

FY 2019 Mental Health Parity and Addiction Equity Act (MHPAEA) Enforcement Fact Sheet, available at: https://www.dol.gov/sites/dolgov/files/EBSA/laws-and-regulations/laws/mental-health-parity/mhpaea-enforcement-2019.pdf

Appendix to FY 2019 MHPAEA Enforcement Fact Sheet, available at: https://www.dol.gov/sites/dolgov/files/EBSA/laws-and-regulations/laws/mental-health-parity/mhpaea-enforcement-2019-fact-sheet-appendix.pdf

Nebraska Department of Insurance Mental Health Parity Presentation Dec. 2019: Nebraska Parity Presentation

The Bowman Foundation Mental Health Parity Resources page: https://thebowmanfamilyfoundation.org/

The National Council for Behavioral Health page: https://www.thenationalcouncil.org/standards-of-care/

The University of Washington Report on insurer coverage of behavioral health services: https://www.insurance.wa.gov/sites/default/files/documents/university-of-washington-behavorial-health-services-report.pdf

FOR REGULATORS ONLY: To access the Mental Health Parity chapter (Chapter 24B) in the Market Regulation Handbook, use your regulator-only credentials to log into myNAIC, then click on StateNet. Click on the "Market Regulation Handbook, Handbook Updates and Reference Documents" link on the StateNet home page. Click on the link 2023 Edition of the Market Regulation Handbook, and in the 2023 Market Regulation Handbook PDF, click the bookmark for Chapter 24B. There is a Word version of this chapter posted in the MHPAEA Working Group regulator-only Collaborative Space.

2020 COMMENTS ON QTL TEMPLATE AND INSTRUCTIONS

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Contacts

Media Inquiries
(816) 783-8909
news@naic.org

Joe Touschner
Senior Health Policy Advisor
202-649-4989

Brian R. Webb
Director, Health and Life Policy & Affairs
202-471-3978

Please see the current Committee List for a complete list of committee members.

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