Regulatory roundup

More healthcare-related regulatory news for plan sponsors, including links to detailed information.

Agencies release mental health and substance use disorder parity guidance
The Mental Health and Substance Use Disorder Parity Task Force published its final report highlighting the progress to date on parity implementation, summaries of comments from stakeholders, and actions taken during the Task Force’s tenure. The report offers the following recommendations on how to support consumers, improve parity implementation, and enhance parity compliance and enforcement.

Parity aims to eliminate restrictions on mental health and substance use coverage—like annual visit limits, higher copayments, or different rules on how care is managed, such as frequent preauthorization requirements or medical necessity reviews—if comparable restrictions are not placed on medical and surgical benefits.

To download the entire report, click here.

IRS general rules and specifications for ACA substitute forms
The Internal Revenue Service (IRS) issued Publication 5223 setting forth 2016 requirements for using official IRS forms to file information returns with the IRS, preparing acceptable substitutes of the official IRS forms to file information returns with the IRS, and using official or acceptable substitute forms to furnish information to recipients.

To download the entire publication, click here.

Agencies release final rule on excepted benefits, lifetime and annual limits, and more
The IRS, the Department of Labor (DOL), and the Department of Health and Human Services (HHS) have released a final rule regarding the definition of short-term, limited-duration insurance for purposes of the exclusion from the definition of individual health insurance coverage, and standards for travel insurance and supplemental health insurance coverage to be considered excepted benefits. The document also amends a reference in the final regulations relating to the prohibition on lifetime and annual dollar limits.

To read the entire final rule, click here.

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