The U.S. Supreme Court has declined to consider review of a decision by the Court of Appeals for the Second Circuit in a case alleging violations by United Healthcare of the federal Mental Health Parity and Addictions Equity Act (MHPAEA).
The case, New York Psychiatric Association (NYSPA) et al. v. United Healthcare, has been remanded to U.S. District Court to proceed to discovery and trial.
Representatives for NYSPA told Psychiatric News that the association will continue to work on a legal strategy as the case moves forward.
“NYSPA is very pleased that the Supreme Court has declined to consider review of the Second Circuit Court of Appeals decision,” Seth Stein, J.D., executive director and general counsel for NYPSA said. “In a precedent-setting decision released this August, the Second Circuit held that United, as claims administrator, was a proper defendant in the case and also held that NYSPA has associational standing at this point in the litigation to represent the interests of its members and their patients. The case has been remanded to federal District Court, and NYSPA will continue to work with its attorneys on legal strategy as the case moves forward. We hope to expand the scope of the litigation to examine existing disparities in reimbursement between behavioral health benefits and medical-surgical benefits. In addition, we would like to further address the issue of United’s interference with access to care by means of stringent medical necessity review standards imposed on behavioral health benefits.”