Mark DeBofsky, founder of DeBofsky Law, was recently quoted in Behavioral Health Business, discussing a pivotal court ruling that significantly impacts behavioral health parity. The 10th U.S. Circuit Court of Appeals in E.W., et al v. Health Net Life Insurance Co. established a new standard for judging legal claims under the Mental Health Parity and Addiction Equity Act (MHPAEA). This ruling outlines four critical criteria for assessing parity claims, marking a crucial step in ensuring mental health benefits are treated equitably with physical health benefits.
DeBofsky’s comments underline the importance of this decision: “This is just a rampant rip-off of the American public: that they pay all this money for health insurance premiums and they incur claims based on their doctor’s treatment recommendations and the insurance companies won’t pay,” and “The opinion is going to be influential as far as how other courts will look at it. They’re not precedentially bound by the EW case. But they will undoubtedly consider it persuasive authority that may help them sort out whether a plaintiff has stated a claim for a mental health parity violation.”
This decision represents a significant advance in the ongoing fight for fair treatment in behavioral health care and could set a precedent for future cases. For more details on this influential ruling and DeBofsky’s insights, read the full article here.