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GAO-10-512R 1 (2010-03-17)

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T I   M Accountability * Integrity * Reliability
United States Government Accountability Office
Washington, DC 20548


          B-319417


          March 17, 2010

          The Honorable Tom Harkin
          Chairman
          The Honorable Michael B. Enzi
          Ranking Minority Member
          Committee on Health, Education, Labor, and Pensions
          United States Senate

          The Honorable George Miller
          Chairman
          The Honorable John Kline
          Ranking Minority Member
          Committee on Education and Labor
          House of Representatives

          Subject: Department of the Treasury, Internal Revenue Service; Department of
                  Labor, Employee Benefits SecurityAdministration; Department of Health
                  and Human Services, Centers for Medicare and Medicaid Services: Interim
                  Final Rules Under the Paul Wellstone and Pete Domenici Mental Health
                  Parity and Addiction Equity Act of 2008

          Pursuant to section 801(a)(2)(A) of title 5, United States Code, this is our report on a
          major rule promulgated by the Department of the Treasury, Internal Revenue
          Service; Department of Labor, Employee Benefits Security Administration;
          Department of Health and Human Services, Centers for Medicare and Medicaid
          Services (the Departments), entitled Interim Final Rules Under the Paul Wellstone
          and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008
          (MHPAEA) (RINS: 1545-BJ05; 1210-AB30; 0938-AP65). We received the rule on
          March 3, 2010. It was published in the Federal Register as interim final rules with
          request for comments on February 2, 2010. 75 Fed. Reg. 5410.

          The interim final rule requires parity between mental health or substance use
          disorder benefits and medical/surgical benefits with respect to financial
          requirements and treatment limitations under group health plans and health
          insurance coverage offered in connection with a group health plan. These interim
          final regulations replace regulations implementing the Mental Health Parity Act of
          1996 (MHPA 1996). The interim final rule also makes conforming changes to reflect
          modifications MHPAEA made to the original MHPA 1996 definitions and provisions


GAO-10-512R

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