Utah Regulations
Parity Report
This page lists some of the action toward parity compliance undertaken by state regulatory agencies since 2008.
Are we missing any actions taken by state regulatory agencies? Let us know at info@paritytrack.org
Action in the Regulatory Arena
7/2018
Primary Focus | Access to Services |
Agency | Health, Health Care Financing, Coverage and Reimbursement Policy |
Title/Description | Covered Services |
Citation | U.A.C. R414-42-3 |
Summary | Covered services may be delivered by means of telemedicine, as clinically appropriate. Services include consultation services, evaluation and management services, mental health services, substance use disorder services, and telepsychiatric consultations. |
Effective Date | December 29, 2008 (Last Substantive Amendment July 1, 2018) |
4/2017
Primary Focus | Parity |
Agency | Utah Department of Insurance |
Title/Description | 2018 Plan Year Requirements for Health Benefit Plan and Stand-Alone Dental Plan Filings Subject to PPACA |
Citation | Bulletin 2017-1(a) |
Summary | Coverage for the medical treatment of mental illness and substance use disorder shall comply with the federal Mental Health Parity and Addiction Equity Act (MHPAEA) and applicable federal regulations. |
Effective Date | April 25, 2017 |
3/2015
The Utah Insurance Department issued a bulletin regarding small employer fully-insured plans and individual plans. It clarified that services for behavioral health disorders must be covered at the same terms and conditions as other services for other medical conditions (page 7). It also clarified that individual plans must cover autism services starting on January 1, 2016 (page 7).
1/2015
The Utah Insurance Department sent a survey to some insurers. One of the survey items about transitional plans reminded insurers that while these plans do not have to comply with much of the Affordable Care Act, they do have to comply with the Federal Parity Law.
4/2014
The Utah Insurance Department issued a bulletin regarding small employer fully-insured plans and individual plans. It clarified that services for behavioral health conditions must be covered at the same terms and conditions as other services for other medical conditions (page 7).
2/2014
The Utah Insurance Department sent a survey to some insurers that offer individual plans and small employer fully-insured plans. One of the survey items about transitional plans reminded insurers that while these plans do not have to comply with much of the Affordable Care Act, they do have to comply with the Federal Parity Law.
National Parity Map
View the state parity reports to learn about legislation, regulation, and litigation related to parity implementation
National Parity MapGet Support
- Utah Insurance Division
- https://insurance.utah.gov/complaint/
- 1-800-439-3805
Common Violations
In seeking care or services, be aware of the common ways parity rights can be violated.