{"abstract":"This document contains final rules implementing the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, which 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 group and individual health insurance coverage. This document also contains a technical amendment relating to external review with respect to the multi-state plan program administered by the Office of Personnel Management.","action":"Final rules.","agencies":[{"raw_name":"DEPARTMENT OF THE TREASURY","name":"Treasury Department","id":497,"url":"https://www.federalregister.gov/agencies/treasury-department","json_url":"https://www.federalregister.gov/api/v1/agencies/497","parent_id":null,"slug":"treasury-department"},{"raw_name":"Internal Revenue Service","name":"Internal Revenue Service","id":254,"url":"https://www.federalregister.gov/agencies/internal-revenue-service","json_url":"https://www.federalregister.gov/api/v1/agencies/254","parent_id":497,"slug":"internal-revenue-service"},{"raw_name":"DEPARTMENT OF LABOR","name":"Labor Department","id":271,"url":"https://www.federalregister.gov/agencies/labor-department","json_url":"https://www.federalregister.gov/api/v1/agencies/271","parent_id":null,"slug":"labor-department"},{"raw_name":"Employee Benefits Security Administration","name":"Employee Benefits Security Administration","id":131,"url":"https://www.federalregister.gov/agencies/employee-benefits-security-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/131","parent_id":271,"slug":"employee-benefits-security-administration"},{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2013/11/13/2013-27086.html","cfr_references":[{"chapter":null,"citation_url":null,"part":54,"title":26},{"chapter":null,"citation_url":null,"part":2590,"title":29},{"chapter":null,"citation_url":null,"part":146,"title":45},{"chapter":null,"citation_url":null,"part":147,"title":45}],"citation":"78 FR 68240","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective date. These final regulations are effective on January 13, 2014, except that the technical amendments to 29 CFR 2590.715-2719 and 45 CFR 147.136 are effective on December 13, 2013.","disposition_notes":null,"docket_ids":["TD 9640","CMS-4140-F"],"dockets":[],"document_number":"2013-27086","effective_on":"2014-01-13","end_page":68296,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2013/11/13/2013-27086.xml","html_url":"https://www.federalregister.gov/documents/2013/11/13/2013-27086/final-rules-under-the-paul-wellstone-and-pete-domenici-mental-health-parity-and-addiction-equity-act","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2013-27086?publication_date=2013-11-13","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2013-11-13/2013-27086/mods.xml","not_received_for_publication":null,"page_length":57,"page_views":{"count":39374,"last_updated":"2026-04-04 12:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2013-11-13/pdf/2013-27086.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2013-27086.pdf?1383927130","publication_date":"2013-11-13","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2013/11/13/2013-27086.txt","regulation_id_number_info":{"0938-AP65":{"issue":"201004","html_url":"https://www.federalregister.gov/regulations/0938-AP65/hipaa-mental-health-parity-and-addiction-equity-act-of-2008-amendments-cms-4140-ifc-","title":"HIPAA Mental Health Parity and Addiction Equity Act of 2008 Amendments (CMS-4140-IFC)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201004&RIN=0938-AP65&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"},"1210-AB30":{"issue":"201310","html_url":"https://www.federalregister.gov/regulations/1210-AB30/mental-health-parity-and-addiction-equity-act","title":"Mental Health Parity and Addiction Equity Act","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201310&RIN=1210-AB30&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"},"1545-BI70":{"issue":"201310","html_url":"https://www.federalregister.gov/regulations/1545-BI70/regulations-under-the-paul-wellstone-and-pete-domenici-mental-health-parity-and-addiction-equity-act","title":"Regulations Under the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201310&RIN=1545-BI70&operation=OPERATION_EXPORT_XML","priority_category":"Substantive, Nonsignificant"}},"regulation_id_numbers":["0938-AP65","1210-AB30","1545-BI70"],"regulations_dot_gov_info":{"supporting_documents":[],"comments_count":0,"agency_id":"HHS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=HHS-OS-2022-0008","supporting_documents_count":0,"docket_id":"HHS-OS-2022-0008","document_id":"HHS-OS-2022-0008-0391","regulation_id_number":null,"title":"HHS 2022 Archive","checked_regulationsdotgov_at":"2022-05-28T03:30:05Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":68240,"subtype":null,"title":"Final Rules Under the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008; Technical Amendment to External Review for Multi-State Plan Program","toc_doc":"Technical Amendment to External Review for Multi-State Plan Program","toc_subject":"Final Rules under the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act:","topics":["Employee benefit plans","Excise taxes","Health care","Health insurance","Pensions","Reporting and recordkeeping requirements"],"type":"Rule","volume":78}