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The Expansion of the CA Mental Health Parity Act's Requirements for Treatment of Eating Disorders

By Chet A. Kronenberg and Tyler Z. Bernstein
November 02, 2014

In 1999, the California legislature enacted the California Mental Health Parity Act (“Parity Act”) to remedy what it perceived to be a deficiency in coverage for mental illness on the part of private health insurance policies. Within the broad realm of mental illness, tens of millions of Americans suffer from eating disorders, most notably anorexia nervosa (“anorexia”) and bulimia nervosa (“bulimia”). Recently, insureds prevailed in two decisions regarding health insurance coverage for such eating disorders. In Harlick v. Blue Shield of California, 686 F.3d 699 (9th Cir. 2012), and Rea v. Blue Shield of California, 2014 WL 2584433 (Cal. Ct. App. June 10, 2014), courts found that the Parity Act requires health insurance providers to cover certain services used to treat eating disorders that were excluded from coverage in the insureds' policies. This article summarizes these decisions and discusses the implications for health insurance providers.

The Parity Act

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