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High Impact

Parity Enforcement Act of 2024

Record date · December 12, 2024

Introduced
Committee
Floor Vote
Passed
Law

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Public stanceCommunity reactions are separate from the official record and reporting.

What This Bill Would Do

This bill expands legal liability for violations to include third-party service providers, such as pharmacy benefit managers and managed behavioral health organizations. It grants the Secretary of Health and Human Services the authority to assign percentages of liability among health plans, sponsors, and these service providers when mental health coverage requirements are not met.

Why it matters

If passed, this bill would hold third-party administrators and pharmacy benefit managers directly accountable for mental health coverage denials or inequities, potentially changing how these companies manage behavioral health benefits for millions of Americans covered by group health plans.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Pharmacy benefit managers

They are explicitly named as service providers who can be held liable for mental health parity violations.

Directly affected

Managed behavioral health organizations

They are explicitly named as service providers who can be held liable for mental health parity violations.

Directly affected

Group health plan sponsors

They face new potential liability for parity violations and may have liability shared with their service providers.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Who would be held liable under this bill?
In addition to health plans and issuers, the bill makes s and service providers—such as third-party administrators, managed behavioral health organizations, and pharmacy benefit managers—liable if they cause or contribute to a violation.
When would these changes take effect?
Most of the amendments would apply to plan years beginning one year after the date the bill is enacted.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently filed. The next step in the legislative lifecycle is Committee.

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift100% confidence

Expansion of Liability to Third-Party Administrators

The bill represents a shift from holding only the health plan or issuer responsible for parity violations to including the service providers who actually manage the benefits.

Connected Entities

Public Health Service Act, Employee Retirement Income Security Act of 1974, Secretary and 3 more
OrganizationPublic Health Service Act“The primary federal law being amended.”Map →
OrganizationEmployee Retirement Income Security Act of 1974“The primary federal law being amended.”Map →
OrganizationSecretary“The Secretary of Health and Human Services, responsible for enforcement.”Map →
PersonLujan“Co-sponsor of the bill in the Senate.”Map →
PersonSmith“Co-sponsor of the bill in the Senate.”Map →
PersonMurphy“Lead sponsor of the bill in the Senate.”Map →

Sources

Open source document

www.congress.gov

Analysis Score

0–100
  • Significance85
    How much this matters to a regular citizen
  • Controversy60
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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