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Filtered field notes — mental health parity.

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Tag · mental health parity
Archive

All mental health parity posts.

Sorted newest first. Each post links primary sources and methodology.

A Family Just Beat Anthem's Motion to Dismiss, and Mental Health Parity Law Got Its Teeth Tested

A federal judge in Missouri refused to throw out a mental health parity lawsuit against Anthem on June 15, 2026, sending the case to discovery instead of ending it at the courthouse door. It's not a one-off. It's the latest entry in a pattern of courts letting parity claims proceed that stretches back to a 2024 Ninth Circuit ruling.

Jul 19, 2026 Matthew Sexton, LCSW

How to File a Mental Health Parity Complaint (2026)

Insurers pay mental health clinicians 16%-59% less than physical-health clinicians, per an April 2026 Kennedy Forum report — how to file a parity complaint.

Jul 12, 2026 Matthew Sexton, LCSW

BIPOC Mental Health Treatment Gap: Not a Willingness Problem

39% of Black adults and 36% of Hispanic adults with fair or poor mental health got treatment vs. 50% of white adults (KFF, 2026). The gap is access, not reluctance.

Jul 12, 2026 Matthew Sexton, LCSW

Mental Health Parity: Connecticut Fined All 5 Insurers

Connecticut found all five major insurers, Aetna, Anthem, Cigna, ConnectiCare, and UnitedHealthcare, violating mental health parity law in one April 2026 report.

Jul 11, 2026 Matthew Sexton, LCSW

Network Adequacy Rules Tighten for 2026: The 10-Day Rule

Marketplace plans must offer a routine mental health appointment within 10 business days, 90% of the time — and New York's rule now hits most commercial plans.

Jul 06, 2026 Matthew Sexton, LCSW

Therapy Pays 22% Less Than Medical Care. Here's the Math.

Medical and surgical visits pay clinicians 22% more than mental health visits on the same commercial insurance plan — 70% more at the top of the pay range.

Jul 06, 2026 Matthew Sexton, LCSW

Mental Health Insurance Claim Denials: 85 Million in 2024

Insurers denied 19% of in-network claims in 2024 — about 85 million. Fewer than 1% were appealed. Reviewers who re-checked denials overturned six in ten.

Jul 06, 2026 Matthew Sexton, LCSW

ERISA Mental Health Parity Loophole: Lawsuit Killed the Gains

ERIC, representing Fortune 500 employers covering 25 million workers, sued to block the 2024 mental health parity rule. Enforcement is now paused indefinitely.

Jun 30, 2026 Matthew Sexton, LCSW

Mental Health Parity Rollback: What Changed in 2026

EBSA's staff dropped 20% as the Trump administration suspended 2024 mental health parity enforcement, leaving 136 million workers with weaker protections in 2026.

Jun 29, 2026 Matthew Sexton, LCSW

$700M in Mental Health Funding Doesn't Close the Access Gap

HHS put $700M into 988 and CCBHCs June 17 — less than three months after DOL said it won't defend the MHPAEA rule that makes insurers actually cover care.

Jun 28, 2026 Matthew Sexton, LCSW

Mental Health Parity Enforcement 2026: Georgia's $25M Fines

Georgia fined insurers nearly $25M for parity violations in January 2026, and had collected $0 by spring. What the enforcement wave means for patients turned away.

Jun 26, 2026 Matthew Sexton, LCSW

Why Is Therapy So Hard to Get? "Just Go to Therapy" Is Broken

137 million Americans, 40% of the country, live in a mental health workforce shortage area as of March 2026. This is the architecture behind why care is hard to get.

Jun 22, 2026 Matthew Sexton, LCSW

Prior Authorization: How Insurers Weaponize Mental Health Care

79% of physicians say prior authorization can push patients to abandon treatment. In mental health, the paperwork isn't a side effect of coverage. It's the point.

Jun 22, 2026 Matthew Sexton, LCSW

Mental Health System Broken? The Business of Being Unwell

In 2026, Georgia fined insurers nearly $25 million for mental health parity violations and collected $0. For insurers, the coverage gap is the product.

Jun 22, 2026 Matthew Sexton, LCSW

Managed Medicare's Real Cost to a Family

A federal audit found 13% of Medicare Advantage denials would have been covered under traditional Medicare. One family's five-month hospital stay shows the wall.

Apr 30, 2026 Matthew Sexton, LCSW

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