{"content":[{"text":"Table 1: MH/SUD Parity Protections Timeline","bbox":{"left":0.286275,"top":0.122311,"width":0.427417,"height":0.017726999999999993}},{"text":"Year","bbox":{"left":0.126863,"top":0.162273,"width":0.035658999999999996,"height":0.015151999999999999}},{"text":"Federal Law or Rule","bbox":{"left":0.187059,"top":0.162273,"width":0.15700900000000004,"height":0.015151999999999999}},{"text":"Summary","bbox":{"left":0.517647,"top":0.162273,"width":0.07593399999999995,"height":0.015151999999999999}},{"text":"1996","bbox":{"left":0.126863,"top":0.19197,"width":0.039938,"height":0.015151999999999999}},{"text":"Mental Health Parity Act (MHPA)","bbox":{"left":0.187059,"top":0.19197,"width":0.26261200000000007,"height":0.015151999999999999}},{"text":"Narrow in scope, some health plans, SUD \n benefits excluded","bbox":{"left":0.517647,"top":0.19197,"width":0.32794200000000007,"height":0.034242999999999996}},{"text":"1998","bbox":{"left":0.126863,"top":0.240606,"width":0.039938,"height":0.015151999999999999}},{"text":"Balanced Budget Act (BBA)","bbox":{"left":0.187059,"top":0.240606,"width":0.21358799999999997,"height":0.015151999999999999}},{"text":"Extends 1996 MHPA protections to \n Medicaid MCOs and CHIP","bbox":{"left":0.517647,"top":0.240606,"width":0.2791640000000001,"height":0.03424300000000002}},{"text":"2008","bbox":{"left":0.126863,"top":0.289242,"width":0.039938,"height":0.015151999999999999}},{"text":"Mental Health Parity and Addiction \n Equity Act (MHPAEA)","bbox":{"left":0.187059,"top":0.289242,"width":0.280691,"height":0.03424300000000002}},{"text":"Full MH/SUD parity protections apply to \n health plans offered by large employers","bbox":{"left":0.517647,"top":0.289242,"width":0.31916,"height":0.03424300000000002}},{"text":"2009","bbox":{"left":0.126863,"top":0.337879,"width":0.039938,"height":0.015151999999999999}},{"text":"Children Health Insurance Program \n Reauthorization Act (CHIPRA)","bbox":{"left":0.187059,"top":0.337879,"width":0.2793840000000001,"height":0.03409100000000004}},{"text":"2008 MHPAEA parity protections apply to \n CHIP","bbox":{"left":0.517647,"top":0.337879,"width":0.33171300000000004,"height":0.03409100000000004}},{"text":"2010","bbox":{"left":0.126863,"top":0.386515,"width":0.039938,"height":0.015151999999999999}},{"text":"Affordable Care Act (ACA)","bbox":{"left":0.187059,"top":0.386515,"width":0.20574699999999999,"height":0.015151999999999999}},{"text":"2008 MHPAEA parity protections extended \n to most private insurance plans","bbox":{"left":0.517647,"top":0.386515,"width":0.34226199999999996,"height":0.03409200000000001}},{"text":"2016","bbox":{"left":0.126863,"top":0.435,"width":0.039938,"height":0.015151999999999999}},{"text":"Medicaid MCOs, ABPs and CHIP parity \n final rule","bbox":{"left":0.187059,"top":0.435,"width":0.30298800000000004,"height":0.03424300000000002}},{"text":"2008 MHPAEA law and regulations are \n extended to Medicaid MCOs, ABPs and CHIP","bbox":{"left":0.517647,"top":0.435,"width":0.352874,"height":0.03424300000000002}},{"text":"What is required under the CMS rule?","bbox":{"left":0.117647,"top":0.510795,"width":0.347485,"height":0.01772700000000005}},{"text":"Medicaid parity rules require that everyone who receives services through MCOs, ABPs or CHIP \n be provided MH/SUD benefits that comply with parity. The rules require each state Medicaid \n agency to perform a “parity analysis” – to review both medical and surgical health benefits and \n MH/SUD benefits offered under insurance plans to determine compliance with the parity \n protections. States had to make information related to compliance available online within 18 \n months of the rule’s publication, by the beginning of October 2017, including any updates made \n to Medicaid benefits. The regulations also extend parity protections to long term care services \n for MH/SUD in the same manner that they are applied to other services.","bbox":{"left":0.117647,"top":0.541818,"width":0.7648539999999999,"height":0.14772800000000008}},{"text":"Key provisions in the CMS Rule","bbox":{"left":0.117647,"top":0.714129,"width":0.282134,"height":0.01772700000000005}},{"text":"Medicaid MCOs are required to meet federal parity requirements (see text box on next page). \n Separate CHIP programs and ABPs must also meet federal parity requirements.","bbox":{"left":0.117647,"top":0.745,"width":0.747303,"height":0.03424300000000002}},{"text":"2","bbox":{"left":0.872353,"top":0.93653,"width":0.010029999999999983,"height":0.019152999999999976}}],"images_bbox":[],"images_bbox_not_text_overlap":[]}