Requirements Related to the Mental Health Parity and Addiction Equity Act; Extension of Comment Period, 66728-66730 [2023-21177]
Download as PDF
66728
Federal Register / Vol. 88, No. 187 / Thursday, September 28, 2023 / Proposed Rules
(b) Within 10 working days (excepting
Saturdays, Sundays, and legal public
holidays) after a request for records is
logged by the Records Access Officer,
the record shall be furnished or a letter
shall be sent to the person making the
request determining whether, or the
extent to which, the Commission will
comply with the request, and, if any
records are denied, the reasons therefor.
*
*
*
*
*
(c) If any record is denied, the letter
shall state the right of the person
requesting such records to appeal any
adverse determination to the Executive
Director of the Commission. Such an
appeal shall be filed within 30 days
from receipt of the Records Access
Officer’s determination denying the
requested information (where the entire
request has been denied), or from the
receipt of any information made
available pursuant to the request (where
the request has been denied in part).
Within 20 working days (excepting
Saturdays, Sundays, and legal public
holidays) after receipt of any appeal, or
any authorized extension, the Executive
Director or the Executive Director’s
designee shall make a determination
and notify the appellant of such
determination. If the appeal is decided
in favor of the appellant the requested
information shall be promptly supplied
as provided in this part. If on appeal the
denial of the request for records is
upheld in whole or in part, the
appellant shall be entitled to appeal to
the Commission at its regular meeting.
In the event that the Commission
confirms the Executive Director’s denial
the appellant shall be notified of the
provisions for judicial review.
*
*
*
*
*
■ 17. In § 401.110, revise paragraphs
(a)(1)(i)(A) and (c) to read as follows:
§ 401.110
promote the objectives of the
Commission, and is consistent with the
rights of individuals to privacy, the
property rights of persons in trade
secrets, and the need for the
Commission to promote frank internal
policy deliberations and to pursue its
regulatory activities without disruption.
(b) Discretionary disclosure of a
record pursuant to this section shall
invoke the requirement that the record
shall be disclosed to any person who
requests it pursuant to § 401.108, but
shall not set a precedent for
discretionary disclosure of any similar
or related record and shall not obligate
the Executive Director to disclose any
other record that is exempt from
disclosure.
Subpart I—General Provisions
§ 401.121
Definitions.
*
*
*
*
*
(e) Material change shall mean a
change to a project previously approved
by the Commission that is important in
determining whether the project would
substantially impair or conflict with the
Commission’s comprehensive plan.
*
*
*
*
*
Dated: September 21, 2023.
Pamela M. Bush,
Commission Secretary/Assistant General
Counsel.
[FR Doc. 2023–21117 Filed 9–27–23; 8:45 am]
BILLING CODE 6360–01–P
Fees.
ddrumheller on DSK120RN23PROD with PROPOSALS1
§ 401.115 Discretionary disclosure by the
Executive Director.
(a) The Executive Director may
exercise discretion to disclose part or all
of any Commission record that is
otherwise exempt from disclosure
pursuant to this part whenever the
Executive Director determines that such
disclosure is in the public interest, will
17:14 Sep 27, 2023
Jkt 259001
Internal Revenue Service
26 CFR Part 54
[REG–120727–21]
RIN 1545–BQ29
DEPARTMENT OF LABOR
Employee Benefits Security
Administration
29 CFR Part 2590
RIN 1210–AC11
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
45 CFR Parts 146 and 147
[CMS–9902–P]
19. In § 401.121, redesignate
paragraph (e) as paragraph (f) and add
new paragraph (e) to read as follows:
■
(a) * * *
(1) * * *
(i) * * *
(A) Processing requests for records;
*
*
*
*
*
(c) Payment shall be made by check
or money order payable to ‘‘Delaware
River Basin Commission’’ and shall be
sent to the Records Access Officer.
■ 18. Revise § 401.115 to read as
follows:
VerDate Sep<11>2014
DEPARTMENT OF THE TREASURY
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Frm 00019
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RIN 0938–AU93
Requirements Related to the Mental
Health Parity and Addiction Equity Act;
Extension of Comment Period
Internal Revenue Service,
Department of the Treasury; Employee
Benefits Security Administration,
Department of Labor; Centers for
Medicare & Medicaid Services,
Department of Health and Human
Services.
ACTION: Proposed rules; extension of
comment period.
AGENCY:
This document extends the
comment period for the proposed rules
entitled ‘‘Requirements Related to the
Mental Health Parity and Addiction
Equity Act’’ that were published in the
August 3, 2023, issue of the Federal
Register. The comment period for the
proposed rules, which had been
scheduled to close on October 2, 2023,
is extended 15 days to October 17, 2023.
DATES: The comment period for the
proposed rules published August 3,
2023, at 88 FR 51552, is extended. To
be assured consideration, comments
must be received at one of the addresses
provided below, no later than October
17, 2023.
ADDRESSES: Written comments may be
submitted to the addresses specified
below. Any comment that is submitted
will be shared with the Department of
the Treasury (Treasury Department),
Internal Revenue Service (IRS), and the
Department of Health and Human
Services (HHS). Please do not submit
duplicates.
Comments will be made available to
the public. Warning: Do not include any
personally identifiable information
SUMMARY:
E:\FR\FM\28SEP1.SGM
28SEP1
Federal Register / Vol. 88, No. 187 / Thursday, September 28, 2023 / Proposed Rules
(such as name, address, or other contact
information) or confidential business
information that you do not want
publicly disclosed. All comments are
posted on the internet exactly as
received and can be retrieved by most
internet search engines. No deletions,
modifications, or redactions will be
made to the comments received, as they
are public records. Comments may be
submitted anonymously.
In commenting, please refer to file
code 1210–AC11. Because of staff and
resource limitations, the Department of
Labor (DOL) cannot accept comments by
facsimile (FAX) transmission.
Comments, including mass comment
submissions, must be submitted in one
of the following two ways (please
choose only one of the ways listed):
1. Electronically. You may submit
electronic comments on this regulation
to https://www.regulations.gov. Follow
the ‘‘Submit a comment’’ instructions.
2. By mail. You may mail written
comments to the following address
ONLY: Office of Health Plan Standards
and Compliance Assistance, Employee
Benefits Security Administration, Room
N–5653, U.S. Department of Labor, 200
Constitution Avenue NW, Washington,
DC 20210, Attention: 1210–AC11.
Please allow sufficient time for mailed
comments to be received before the
close of the comment period.
FOR FURTHER INFORMATION CONTACT:
Shira McKinlay, Internal Revenue
Service, Department of the Treasury, at
202–317–5500; Beth Baum or David
Sydlik, Employee Benefits Security
Administration, Department of Labor, at
202–693–8335; David Mlawsky, Centers
for Medicare & Medicaid Services,
Department of Health and Human
Services, at 410–786–6851.
ddrumheller on DSK120RN23PROD with PROPOSALS1
Customer Service Information
Individuals interested in obtaining
information from DOL concerning
private employment-based health
coverage laws may call the Employee
Benefits Security Administration
(EBSA) Toll-Free Hotline at 1–866–444–
EBSA (3272) or visit the DOL’s website
(www.dol.gov/agencies/ebsa).
In addition, information from HHS on
private health insurance coverage and
coverage provided by self-funded, nonFederal governmental group health
plans can be found on the Centers for
Medicare & Medicaid Services (CMS)
website (www.cms.gov/cciio), and
information on health care reform can
be found at www.Healthcare.gov or
https://www.hhs.gov/healthcare/
index.html. In addition, information
about mental and behavioral health and
addiction is available at https://
VerDate Sep<11>2014
17:14 Sep 27, 2023
Jkt 259001
www.samhsa.gov/mental-health and
https://www.samhsa.gov/find-support.
SUPPLEMENTARY INFORMATION: In the
proposed rules, ‘‘Requirements Related
to the Mental Health Parity and
Addiction Equity Act,’’ released by the
Departments of the Treasury, Labor, and
HHS (collectively, the Departments) on
July 25, 2023, and published in the
Federal Register on August 3, 2023 (88
FR 51552), the Departments solicited
public comments on proposals to amend
the regulations that implement the Paul
Wellstone and Pete Domenici Mental
Health Parity and Addiction Equity Act
of 2008 (MHPAEA) and establish new
regulations for the nonquantitative
treatment limitation (NQTL)
comparative analyses required under
MHPAEA, as amended by the
Consolidated Appropriations Act, 2021.
The proposed rules would amend the
existing NQTL standard to prevent
group health plans and health insurance
issuers offering group or individual
health insurance coverage that provides
both medical and surgical benefits and
mental health or substance use disorder
benefits from using NQTLs to place
greater limits on access to mental health
and substance use disorder benefits as
compared to medical/surgical benefits.
As part of these proposed changes, the
proposed rules would require plans and
issuers to collect and evaluate relevant
data in a manner reasonably designed to
assess the impact of NQTLs on access to
mental health and substance use
disorder benefits and medical/surgical
benefits, and propose a special rule for
NQTLs related to network composition.
The proposed rules also would amend
existing examples and add new
examples on the application of the rules
for NQTLs to clarify and illustrate the
protections of MHPAEA. In addition,
the proposed rules would set forth the
content requirements for NQTL
comparative analyses and specify how
plans and issuers must make these
comparative analyses available to the
Departments, as well as to an applicable
State authority, and participants,
beneficiaries, and enrollees. The
Departments also solicited comments on
whether there are ways to improve the
coverage of mental health and substance
use disorder benefits through other
provisions of Federal law. Additionally,
HHS proposed amendments to
implement the sunset provision for selffunded, non-Federal governmental plan
elections to opt out of compliance with
MHPAEA, as adopted in the
Consolidated Appropriations Act, 2023.
The comment period for the proposed
rules was scheduled to close on October
2, 2023.
PO 00000
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Fmt 4702
Sfmt 4702
66729
Additionally, on July 25, 2023, DOL,
in collaboration with HHS and the
Treasury Department, issued Technical
Release 2023–01P.1 The Technical
Release sets out principles and seeks
public comment to inform future
guidance with respect to the application
of the proposed data collection and
evaluation requirements to NQTLs
related to network composition and a
potential time-limited enforcement safe
harbor for plans and issuers that include
data in their comparative analyses that
demonstrates they meet or exceed all of
the thresholds identified in future
guidance with respect to NQTLs related
to network composition. Specifically,
the Technical Release solicits feedback
on the type, form, and manner for the
data that plans and issuers would be
required to include, along with other
relevant data as appropriate, as part of
their comparative analyses for NQTLs
related to network composition which
must be submitted to the Departments
upon request. The Technical Release
also solicits feedback on how to define
certain thresholds for required data and
a potential time-limited enforcement
safe harbor to be specified in future
guidance that, if satisfied, would
demonstrate to the Departments that a
plan or coverage provides comparable
access to in-network providers for
mental health and substance use
disorder benefits as compared to
medical/surgical benefits. In turn, if all
of these safe harbor thresholds are met
or exceeded, the plan or issuer would
not be subject to Federal enforcement
under MHPAEA with respect to NQTLs
related to network composition for a
specified period of time. Comments on
Technical Release 2023–01P should be
sent via email to mhpaea.rfc.ebsa@
dol.gov. All comments on Technical
Release 2023–01P submitted to DOL
will be shared with HHS, the IRS, and
the Treasury Department and posted on
DOL’s Employee Benefits Security
Administration’s (EBSA) website. The
comment period for Technical Release
2023–01P was scheduled to close on
October 2, 2023.
Since the publication of the proposed
rules in the Federal Register and the
release of Technical Release 2023–01P
on EBSA’s website, there has been
considerable interest expressed in these
1 Department of Labor, Employee Benefits
Security Administration, Technical Release 2023–
01P: Request for Comment on Proposed Relevant
Data Requirements for Nonquantitative Treatment
Limitations (NQTLs) Related to Network
Composition and Enforcement Safe Harbor for
Group Health Plans and Health Insurance Issuers
Subject to the Mental Health Parity and Addiction
Equity Act (July 25, 2023), available at https://
www.dol.gov/agencies/ebsa/employers-andadvisers/guidance/technical-releases/23-01.
E:\FR\FM\28SEP1.SGM
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Federal Register / Vol. 88, No. 187 / Thursday, September 28, 2023 / Proposed Rules
documents, and some interested parties
have requested additional time to
review and submit comments. The
Departments value public feedback as
they consider whether and how to issue
final rules and future guidance. In
response to these requests, the
Departments are extending the period
for submitting comments on the
proposed rules to October 17, 2023.
Additionally, to ensure consistency
with the comment period for the
proposed rules, DOL is simultaneously
extending the comment period for
Technical Release 2023–01P to October
17, 2023. To be assured consideration,
comments on the proposed rules and
Technical Release must be received no
later than October 17, 2023.
Dated: September 22, 2023.
Douglas W. O’Donnell,
Deputy Commissioner for Services and
Enforcement, Internal Revenue Service.
Lisa M. Gomez,
Assistant Secretary, Employee Benefits,
Security Administration, Department of
Labor.
Xavier Becerra,
Secretary, Department of Health and Human
Services.
[FR Doc. 2023–21177 Filed 9–27–23; 8:45 am]
BILLING CODE P
DEPARTMENT OF THE TREASURY
Financial Crimes Enforcement Network
31 CFR Part 1010
RIN 1506–AB62
Beneficial Ownership Information
Reporting Deadline Extension for
Reporting Companies Created or
Registered in 2024
Financial Crimes Enforcement
Network (FinCEN), Treasury.
ACTION: Notice of Proposed Rulemaking
(NPRM).
AGENCY:
FinCEN is proposing to
amend the beneficial ownership
information (BOI) reporting rule
(Reporting Rule) to extend the filing
deadline for certain BOI reports. Under
the Reporting Rule, entities created or
registered on or after the rule’s effective
date of January 1, 2024, must file initial
BOI reports with FinCEN within 30 days
of notice of their creation or registration.
This proposed amendment would
extend that filing deadline from 30 days
to 90 days for entities created or
registered on or after January 1, 2024,
and before January 1, 2025, to give those
entities additional time to understand
the new reporting obligation and collect
ddrumheller on DSK120RN23PROD with PROPOSALS1
SUMMARY:
VerDate Sep<11>2014
17:14 Sep 27, 2023
Jkt 259001
the necessary information to complete
the filing. Entities created or registered
on or after January 1, 2025, would have
30 days to file their BOI reports with
FinCEN, as required under the
Reporting Rule.
DATES: Written comments on this
proposed rule may be submitted on or
before October 30, 2023.
ADDRESSES: Comments may be
submitted by any of the following
methods:
• Federal E-rulemaking Portal:
https://www.regulations.gov. Follow the
instructions for submitting comments.
Refer to Docket Number FINCEN–2023–
0014 and the Office of Management and
Budget (OMB) control number 1506–
0076.
• Mail: Policy Division, Financial
Crimes Enforcement Network, P.O. Box
39, Vienna, VA 22183. Refer to Docket
Number FINCEN–2023–0014 and OMB
control number 1506–0076.
FOR FURTHER INFORMATION CONTACT: The
FinCEN Regulatory Support Section at
1–800–767–2825 or electronically at
frc@fincen.gov.
SUPPLEMENTARY INFORMATION:
I. Introduction
In this NPRM, FinCEN is proposing to
amend the Reporting Rule 1 to extend
the deadline to file initial BOI reports
for entities created or registered on or
after the rule’s effective date of January
1, 2024, and before January 1, 2025.
Under the Reporting Rule, such entities
must file initial BOI reports with
FinCEN within 30 days of notice of their
creation or registration. The proposed
amendment would extend that filing
deadline from 30 days to 90 days for
entities created or registered on or after
January 1, 2024, and before January 1,
2025, to give those entities additional
time to understand the new reporting
obligation and collect the necessary
information to complete their filings.
Entities created or registered on or after
January 1, 2025, would have 30 days to
file their BOI reports with FinCEN, as
required under the Reporting Rule.
II. Background
On September 30, 2022, FinCEN
published the Reporting Rule, with an
effective date of January 1, 2024.2 The
1 Treasury, FinCEN, Beneficial Ownership
Information Reporting Requirements, 87 FR 59498
(Sept. 30, 2022).
2 The Reporting Rule is the first in a series of
rulemakings to implement the CTA, enacted on
January 1, 2021, as part of the Anti-Money
Laundering Act of 2020 and codified at 31 U.S.C.
5336. The CTA is Title LXIV of the William M.
(Mac) Thornberry National Defense Authorization
Act for Fiscal Year 2021, Public Law 116–283 (Jan.
1, 2021) (the NDAA). Division F of the NDAA is the
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Fmt 4702
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Reporting Rule requires certain
corporations, limited liability
companies, and other similar entities
(‘‘reporting companies’’) 3 to report
certain identifying information about
the beneficial owners who own or
control such entities and the company
applicants who form or register them.4
These requirements are intended to
facilitate access to BOI for certain
authorized recipients, including law
enforcement and regulators, for the
purpose of countering money
laundering, the financing of terrorism,
and other illicit activity.5 The Corporate
Transparency Act (CTA) directs FinCEN
to promulgate regulations that achieve
the objectives of the statute, while
minimizing burdens on reporting
companies to the greatest extent
practicable and ensuring that the BOI
collected is ‘‘highly useful’’ for national
security, intelligence, and law
enforcement activities.6
The Reporting Rule requires reporting
companies to report to FinCEN within
prescribed time periods information
about themselves, as well as information
about two categories of individuals: (1)
the beneficial owners of the reporting
company; and (2) the company
applicants, who are the individuals who
filed a document to create the reporting
company or register it to do business.
For a domestic or foreign reporting
company created or registered to do
business in the United States before the
rule’s effective date of January 1, 2024,
an initial BOI report must be filed by
January 1, 2025.7 For a reporting
company created or registered on or
after January 1, 2024, however, the
Reporting Rule requires that an initial
BOI report must be filed within 30 days
of the earlier of the date on which it
receives actual notice or public notice
that it has been created or registered.8
III. Proposed Extension of Time for
Certain Reporting Companies
FinCEN proposes to extend the period
for certain reporting companies to file
initial BOI reports. Under this proposed
amendment to the Reporting Rule,
reporting companies created or
registered on or after January 1, 2024,
and before January 1, 2025, would have
90 days to submit their initial BOI
Anti-Money Laundering Act of 2020, which
includes the CTA.
3 See 31 U.S.C. 5336(a)(11).
4 See U.S. Department of the Treasury (Treasury),
FinCEN, Beneficial Ownership Information
Reporting Requirements, 87 FR 59498, 59498–99
(Sept. 30, 2022).
5 Public Law 116–283, Section 6402 (Jan. 1, 2021).
6 Id.
7 31 CFR 1010.380(a)(iii).
8 31 CFR 1010.380(a)(i)–(ii).
E:\FR\FM\28SEP1.SGM
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Agencies
[Federal Register Volume 88, Number 187 (Thursday, September 28, 2023)]
[Proposed Rules]
[Pages 66728-66730]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-21177]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF THE TREASURY
Internal Revenue Service
26 CFR Part 54
[REG-120727-21]
RIN 1545-BQ29
DEPARTMENT OF LABOR
Employee Benefits Security Administration
29 CFR Part 2590
RIN 1210-AC11
DEPARTMENT OF HEALTH AND HUMAN SERVICES
45 CFR Parts 146 and 147
[CMS-9902-P]
RIN 0938-AU93
Requirements Related to the Mental Health Parity and Addiction
Equity Act; Extension of Comment Period
AGENCY: Internal Revenue Service, Department of the Treasury; Employee
Benefits Security Administration, Department of Labor; Centers for
Medicare & Medicaid Services, Department of Health and Human Services.
ACTION: Proposed rules; extension of comment period.
-----------------------------------------------------------------------
SUMMARY: This document extends the comment period for the proposed
rules entitled ``Requirements Related to the Mental Health Parity and
Addiction Equity Act'' that were published in the August 3, 2023, issue
of the Federal Register. The comment period for the proposed rules,
which had been scheduled to close on October 2, 2023, is extended 15
days to October 17, 2023.
DATES: The comment period for the proposed rules published August 3,
2023, at 88 FR 51552, is extended. To be assured consideration,
comments must be received at one of the addresses provided below, no
later than October 17, 2023.
ADDRESSES: Written comments may be submitted to the addresses specified
below. Any comment that is submitted will be shared with the Department
of the Treasury (Treasury Department), Internal Revenue Service (IRS),
and the Department of Health and Human Services (HHS). Please do not
submit duplicates.
Comments will be made available to the public. Warning: Do not
include any personally identifiable information
[[Page 66729]]
(such as name, address, or other contact information) or confidential
business information that you do not want publicly disclosed. All
comments are posted on the internet exactly as received and can be
retrieved by most internet search engines. No deletions, modifications,
or redactions will be made to the comments received, as they are public
records. Comments may be submitted anonymously.
In commenting, please refer to file code 1210-AC11. Because of
staff and resource limitations, the Department of Labor (DOL) cannot
accept comments by facsimile (FAX) transmission.
Comments, including mass comment submissions, must be submitted in
one of the following two ways (please choose only one of the ways
listed):
1. Electronically. You may submit electronic comments on this
regulation to https://www.regulations.gov. Follow the ``Submit a
comment'' instructions.
2. By mail. You may mail written comments to the following address
ONLY: Office of Health Plan Standards and Compliance Assistance,
Employee Benefits Security Administration, Room N-5653, U.S. Department
of Labor, 200 Constitution Avenue NW, Washington, DC 20210, Attention:
1210-AC11.
Please allow sufficient time for mailed comments to be received
before the close of the comment period.
FOR FURTHER INFORMATION CONTACT: Shira McKinlay, Internal Revenue
Service, Department of the Treasury, at 202-317-5500; Beth Baum or
David Sydlik, Employee Benefits Security Administration, Department of
Labor, at 202-693-8335; David Mlawsky, Centers for Medicare & Medicaid
Services, Department of Health and Human Services, at 410-786-6851.
Customer Service Information
Individuals interested in obtaining information from DOL concerning
private employment-based health coverage laws may call the Employee
Benefits Security Administration (EBSA) Toll-Free Hotline at 1-866-444-
EBSA (3272) or visit the DOL's website (www.dol.gov/agencies/ebsa).
In addition, information from HHS on private health insurance
coverage and coverage provided by self-funded, non-Federal governmental
group health plans can be found on the Centers for Medicare & Medicaid
Services (CMS) website (www.cms.gov/cciio), and information on health
care reform can be found at www.Healthcare.gov or https://www.hhs.gov/healthcare/. In addition, information about mental and
behavioral health and addiction is available at https://www.samhsa.gov/mental-health and https://www.samhsa.gov/find-support.
SUPPLEMENTARY INFORMATION: In the proposed rules, ``Requirements
Related to the Mental Health Parity and Addiction Equity Act,''
released by the Departments of the Treasury, Labor, and HHS
(collectively, the Departments) on July 25, 2023, and published in the
Federal Register on August 3, 2023 (88 FR 51552), the Departments
solicited public comments on proposals to amend the regulations that
implement the Paul Wellstone and Pete Domenici Mental Health Parity and
Addiction Equity Act of 2008 (MHPAEA) and establish new regulations for
the nonquantitative treatment limitation (NQTL) comparative analyses
required under MHPAEA, as amended by the Consolidated Appropriations
Act, 2021. The proposed rules would amend the existing NQTL standard to
prevent group health plans and health insurance issuers offering group
or individual health insurance coverage that provides both medical and
surgical benefits and mental health or substance use disorder benefits
from using NQTLs to place greater limits on access to mental health and
substance use disorder benefits as compared to medical/surgical
benefits. As part of these proposed changes, the proposed rules would
require plans and issuers to collect and evaluate relevant data in a
manner reasonably designed to assess the impact of NQTLs on access to
mental health and substance use disorder benefits and medical/surgical
benefits, and propose a special rule for NQTLs related to network
composition. The proposed rules also would amend existing examples and
add new examples on the application of the rules for NQTLs to clarify
and illustrate the protections of MHPAEA. In addition, the proposed
rules would set forth the content requirements for NQTL comparative
analyses and specify how plans and issuers must make these comparative
analyses available to the Departments, as well as to an applicable
State authority, and participants, beneficiaries, and enrollees. The
Departments also solicited comments on whether there are ways to
improve the coverage of mental health and substance use disorder
benefits through other provisions of Federal law. Additionally, HHS
proposed amendments to implement the sunset provision for self-funded,
non-Federal governmental plan elections to opt out of compliance with
MHPAEA, as adopted in the Consolidated Appropriations Act, 2023. The
comment period for the proposed rules was scheduled to close on October
2, 2023.
Additionally, on July 25, 2023, DOL, in collaboration with HHS and
the Treasury Department, issued Technical Release 2023-01P.\1\ The
Technical Release sets out principles and seeks public comment to
inform future guidance with respect to the application of the proposed
data collection and evaluation requirements to NQTLs related to network
composition and a potential time-limited enforcement safe harbor for
plans and issuers that include data in their comparative analyses that
demonstrates they meet or exceed all of the thresholds identified in
future guidance with respect to NQTLs related to network composition.
Specifically, the Technical Release solicits feedback on the type,
form, and manner for the data that plans and issuers would be required
to include, along with other relevant data as appropriate, as part of
their comparative analyses for NQTLs related to network composition
which must be submitted to the Departments upon request. The Technical
Release also solicits feedback on how to define certain thresholds for
required data and a potential time-limited enforcement safe harbor to
be specified in future guidance that, if satisfied, would demonstrate
to the Departments that a plan or coverage provides comparable access
to in-network providers for mental health and substance use disorder
benefits as compared to medical/surgical benefits. In turn, if all of
these safe harbor thresholds are met or exceeded, the plan or issuer
would not be subject to Federal enforcement under MHPAEA with respect
to NQTLs related to network composition for a specified period of time.
Comments on Technical Release 2023-01P should be sent via email to
[email protected]. All comments on Technical Release 2023-01P
submitted to DOL will be shared with HHS, the IRS, and the Treasury
Department and posted on DOL's Employee Benefits Security
Administration's (EBSA) website. The comment period for Technical
Release 2023-01P was scheduled to close on October 2, 2023.
---------------------------------------------------------------------------
\1\ Department of Labor, Employee Benefits Security
Administration, Technical Release 2023-01P: Request for Comment on
Proposed Relevant Data Requirements for Nonquantitative Treatment
Limitations (NQTLs) Related to Network Composition and Enforcement
Safe Harbor for Group Health Plans and Health Insurance Issuers
Subject to the Mental Health Parity and Addiction Equity Act (July
25, 2023), available at https://www.dol.gov/agencies/ebsa/employers-and-advisers/guidance/technical-releases/23-01.
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Since the publication of the proposed rules in the Federal Register
and the release of Technical Release 2023-01P on EBSA's website, there
has been considerable interest expressed in these
[[Page 66730]]
documents, and some interested parties have requested additional time
to review and submit comments. The Departments value public feedback as
they consider whether and how to issue final rules and future guidance.
In response to these requests, the Departments are extending the period
for submitting comments on the proposed rules to October 17, 2023.
Additionally, to ensure consistency with the comment period for the
proposed rules, DOL is simultaneously extending the comment period for
Technical Release 2023-01P to October 17, 2023. To be assured
consideration, comments on the proposed rules and Technical Release
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must be received no later than October 17, 2023.
Dated: September 22, 2023.
Douglas W. O'Donnell,
Deputy Commissioner for Services and Enforcement, Internal Revenue
Service.
Lisa M. Gomez,
Assistant Secretary, Employee Benefits, Security Administration,
Department of Labor.
Xavier Becerra,
Secretary, Department of Health and Human Services.
[FR Doc. 2023-21177 Filed 9-27-23; 8:45 am]
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