In 2019, the Washington legislature enacted a bill requiring insurers on the state’s health insurance exchange to offer plans with standardized benefit designs, beginning in 2021. Colorado and Maryland are considering similar requirements. As these and other states consider the option of standardized health plans, they can benefit from the experiences of California, the District of Columbia (D.C.), Connecticut, Massachusetts, New York, Oregon, and Vermont, all of which require insurers to offer standardized benefit designs. This Expert Perspective outlines benefits and risks of plan standardization, and raises critical questions that states will need to consider, and offers a decision roadmap for states implementing a standardized benefit design requirement.
Mental Health Parity and Addiction Equity Act Issuer Checklist and Certification
Georgetown University Health Policy Institute
The Mental Health Parity and Addiction Equity Act (MHPAEA) Issuer Checklist and Certification has been developed by the Georgetown University Health Policy Institute for use by insurance regulators in reviewing products filed by issuers for compliance with MHPAEA. Regulators can use this template form to require issuers to: (i) indicate that they meet the specific requirements of the regulations promulgated pursuant to MHPAEA; (ii) provide a detailed explanation of any requirements that they do not meet; and (iii) certify that (a) the information in the Checklist and Certification is accurate and complete, and (b) they generally comply with MHPAEA. This Checklist and Certification is in word document format and can by amended by state regulators that wish to include additional checklist items or descriptive requirements. Once completed by the issuer, the checklist can streamline insurance regulator review of issuer’s product compliance with the requirements of the MHPAEA.