A final regulation implementing MHPAEA was published in the Federal Register on November 13, 2013.The regulation is effective January 13, 2014 and generally applies to plan years (in the individual market, policy years) beginning on or after July 1, 2014. This followed an interim final regulation, which was published in the Federal Register on February 2, 2010 and generally applies to plan years beginning on or after July 1, 2010. The final regulation applies to non-Federal governmental plans with more than 50 employees, and to group health plans of private employers with more than 50 employees.
We anticipate issuing further responses to questions and other guidance in the future.We hope this guidance will be helpful by providing additional clarity and assistance.It also applies to health insurance coverage in the individual health insurance market.It does not apply to group health plans of small employers (except as noted above in connection with the EHB requirements).MHPAEA does not apply directly to small group health plans, although its requirements are applied indirectly in connection with the Affordable Care Act’s essential health benefit (EHB) requirements as noted below.
The Protecting Affordable Coverage for Employees Act amended the definition of small employer in section 1304(b) of the Affordable Care Act and section 2791(e) of the Public Health Service Act to mean generally an employer with 1-50 employees, with the option for states to expand the definition of small employer to 1-100 employees.
These example sentences are selected automatically from various online news sources to reflect current usage of the word 'mandate.' Views expressed in the examples do not represent the opinion of Merriam-Webster or its editors. But since a politician is not just a symbol of certain policies but also an individual who might happen to have an awfully nice smile, it can be risky to interpret most elections as mandating anything at all.
Elections are often interpreted as mandates from the public for certain kinds of action.
These example sentences are selected automatically from various online news sources to reflect current usage of the word 'mandate.' Views expressed in the examples do not represent the opinion of Merriam-Webster or its editors.
- Philip Morris report, January 21, 1986 Why raise the tobacco sale age in Washington State? No bill in Olympia this year will save more lives than Tobacco 21. 80% of adult smokers become daily smokers before they turn 18.
However, the Affordable Care Act builds on MHPAEA and requires coverage of mental health and substance use disorder services as one of ten EHB categories in non-grandfathered individual and small group plans.