Implications for Smoking Cessation Therapies


                  The ACA and Mental Health Parity and
Addiction Equity Act of 2008 (MHPAEA)
Implications for Smoking Cessation Therapies
January 28, 2015 
                            Sponsored by   
Health care reform has brought about changes that promote comprehensive, robust coverage of smoking cessation benefits in large group, individual and small group products. The combination of requirements from the Patient Protection and Affordable Care Act (ACA) and the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) will lead to health care benefit coverage options for smokers looking to quit. Under the ACA, Essential Health Benefits for insured plans must include mental health and substance use disorder services, including behavioral treatment. In addition, when the ACA and MHPAEA are considered together, coverage for tobacco dependence must be comprehensive in order to comply with both pieces of legislation – some, or all, of which must be provided at no member cost sharing. The session covered how the ACA requirements influence benefit plan coverage for smoking cessation.
Steve Melek is a Principal and Consulting Actuary with Milliman in their health care group. Steve’s areas of expertise include health care product development, management, and financial analyses. He is also a subject matter expert on legislation and policy as it pertains to compliance.
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Updated 1/2/2019