Sarah Kanter

Rudy Garcia

The Agencies Press Pause on the 2024 Final MHPAEA Rule

On May 15, 2025, the Departments of Labor, Health and Human Services, and the Treasury (collectively, the “Departments”) announced a pause in enforcement of the final rule (the “2024 Final Rule”) to the Mental Health Parity and Addiction Equity Act (“MHPAEA”). The 2024 Final Rule was issued in September 2024, and imposed significant new compliance requirements on plan sponsors. The Departments also announced that they would be undertaking a broad reexamination of each Departments’ enforcement approach under MHPAEA. This pause was not unexpected,  as it had been telegraphed a week earlier in a filing by the federal government in a lawsuit challenging the 2024 Final Rule. Below is an overview of this enforcement pause and what it means for plan sponsors.

2024 Final Rule

The 2024 Final Rule amended prior MHPAEA regulations issued in 2013 (the “2013 Final Rule”) and added new rules implementing the nonquantitative treatment limitation (“NQTL”) comparative analyses requirements of the Consolidated Appropriations Act, 2021 (“CAA”). Key components of the 2024 Final Rule include:

  • Revised and new definitions of key terms.
  • New requirements regarding imposing, designing and applying NQTLs.
  • New data collection and evaluation obligations regarding NQTLs.
  • Network adequacy standards for mental health and substance use disorder provider networks.
  • A requirement to provide “meaningful benefits” for a mental health disorder or substance use disorder condition covered by the plan.
  • Detailed content requirements for the NQTL comparative analyses.
  • For ERISA covered plans, a requirement that a fiduciary must make certifications regarding the process followed in selecting and monitoring the service providers who performed the NQTL comparative analyses for the plan.

Enforcement of these various requirements was staggered for plan years beginning on or after January 1, 2025, for some provisions, and plan years beginning on or after January 1, 2026, for other provisions.

For a detailed overview of the 2024 Final Rule, please see the following Trucker Huss article: https://www.truckerhuss.com/2024/12/what-plan-sponsors-need-to-know-about-the-final-rule-under-the-mental-health-parity-and-addiction-equity-act/

The ERIC Lawsuit and Government Response

The 2024 Final Rule was met with controversy and pushback from many industry stakeholders. Most significantly, in January 2025, the ERISA Industry Committee (“ERIC”)[1] filed a lawsuit against the Departments alleging that the 2024 Final Rule exceeded the Departments’ authority under MHPAEA, and was arbitrary and capricious. ERIC engaged former Secretary of Labor Eugene Scalia to bring the suit.

Given the recent change in Presidential administration, it was uncertain how the federal government would handle the lawsuit, and whether it would defend the 2024 Final Rule. This uncertainty was answered on May 9, 2025, when the government filed a motion asking the court to hold the case in abeyance pending the Departments’ reconsideration of the 2024 Final Rule. Specifically, the filing stated that the Departments intended to reconsider the Final 2024 Rule, and may modify or rescind it. The filing also stated that the Departments would:

  • Issue a non-enforcement policy with respect to the provisions of the 2024 Final Rule effective in 2025 and 2026; and
  • Reexamine the Departments’ current MHPAEA enforcement program more broadly.

May 15, 2025 Notice of Non-Enforcement

On May 15, 2025, the Departments announced a non-enforcement policy regarding the 2024 Final Rule. The announcement cites to the ERIC lawsuit and the President’s Executive Order 14219 (entitled “Ensuring Lawful Governance and Implementing the President’s ‘Department of Government Efficiency’ Deregulatory Initiative”[2]) as the impetus for the Departments’ action in reconsidering the 2024 Final Rule. Key points from the announcement include:

  • The Departments will not enforce the 2024 Final Rule or otherwise pursue enforcement actions based on a failure to comply until a final decision in the ERIC litigation, plus an additional 18 months.
  • The enforcement relief applies only to the portions of the 2024 Final Rule that are new in relation to the 2013 Final Rule.
  • States are encouraged to adopt a similar approach to enforcement with respect to health insurance issuers.
  • The Departments will take a broader examination of each Department’s respective enforcement approach under MHPAEA.

Importantly, the Departments emphasized that MHPAEA’s statutory obligations as amended by the CAA are still in effect. This includes the requirement to perform and document an NQTL comparative analysis. The Announcement notes that Plans should continue to rely on the:

  • 2013 Final Rule.
  • The subregulatory guidance FAQs About Mental Health Substance Use Disorder Parity, Implementation and the Consolidated Appropriations Act, 2021 Part 45.

The announcement concludes with an emphasis on the Departments ongoing commitment to MHPAEA, stating “MHPAEA provides critical protections for workers, individuals, and their families who need treatment for mental health conditions and substance use disorders,” and that “the Departments remain committed to ensuring that individuals receive protections under the law in a way that is not unduly burdensome for plans and issuers.”

What Does This Mean for Plan Sponsors?

MHPAEA is still very much in force – only the new provisions of the 2024 Final Rule are on hold. Plan sponsors must:

  • Continue complying with the MHPAEA requirements in the 2013 Final Rule.
  • Perform and document the NQTL comparative analysis.
  • Monitor further developments as the Departments reconsider the 2024 Final Rule.

While compliance efforts relating to the 2024 Final Rule can now be paused for the time being, MHPAEA compliance as a whole should remain a top priority for plan sponsors.

  1. [1]

    ERIC describes itself as a national nonprofit organization exclusively representing the largest employers in the United States in their capacity as sponsors of employee benefit plans.

  2. [2]

    Executive Order 14219 directs federal agencies to review regulations to identify those that may “undermine national interest,” including by imposing undue burdens on small businesses or significant costs upon private parties that are not outweighed by public benefits.

May 14, 2025

Cryptocurrency No Longer a Non-Starter for 401(k) Plans – Real World Implications

On May 28, 2025, the U.S. Department of Labor Employee Benefits Security Administration (EBSA) released its first compliance assistance bulletin under the new presidential administration, Compliance Assistance Release No. 2025-01 (the “New Guidance”), announcing and memorializing EBSA’s revocation of its 2022 guidance cautioning against 401(k) plan investments in cryptocurrencies (Compliance Assistance Release No. 2022-01 (the “Prior Guidance”).

The Prior Guidance was issued by EBSA during the last presidential administration in response to a growing number of firms marketing cryptocurrencies as potential 401(k) plan investment options. Citing concerns that cryptocurrencies may have volatile returns, are subject to an evolving regulatory environment, present unique challenges for participants in making informed investment decisions, and have unique custodial, recordkeeping and valuation concerns, EBSA cautioned plan fiduciaries to exercise “extreme care” before considering adding a cryptocurrency to a 401(k) plan investment menu. Notably, in light of EBSA’s concerns, the Prior Guidance warned plan fiduciaries that EBSA expected to conduct an investigative program aimed at plans offering participant investments in cryptocurrencies and related products. More specifically, EBSA informed 401(k) plan investment fiduciaries permitting cryptocurrency investments that they “should expect to be questioned about how they can square their actions with their duties of prudence and loyalty in light of the [associated] risks . . .”  This resulted in an immediate and significant chilling effect on pursuing cryptocurrency offerings in 401(k) Plans.

It comes as little surprise that the new presidential administration is a proponent of cryptocurrency, with Vice President Vance announcing the same day as the release of the New Guidance that “crypto finally has a champion and an ally in the White House…  crypto and digital assets… are part of the mainstream economy, and are here to stay.”  But what does the New Guidance mean for plan fiduciaries and the prudent analysis they must undertake in considering whether cryptocurrencies are an appropriate 401(k) plan investment options?

The New Guidance focuses on the reference to “extreme care” in the Prior Guidance as a rationale for its revocation, stating that “extreme care” is not a standard found in ERISA, and differs from ordinary fiduciary principles thereunder. Under ERISA, the fiduciary principles describing standards of care are the duties of loyalty and prudence. Specifically, ERISA’s duty of loyalty provides that fiduciaries must act solely in the interest of plan participants and beneficiaries with the exclusive purpose of providing benefits and defraying reasonable plan expenses, and the duty of prudence provides that fiduciaries are to carry out their duties with the care, skill, prudence, and diligence that a prudent person familiar with such matters would use (described by the courts as an expert standard). 

The New Guidance emphasizes that the Prior Guidance deviated from EBSA’s “historic neutral approach to investment types and strategies” (e.g., imposing a uniform standard of care for different investments), and that revocation of the Prior Guidance “restores [EBSA’s] historical approach by neither endorsing, nor disapproving of, plan fiduciaries who conclude that the inclusion of cryptocurrency in a plan’s investment menu is appropriate.” 

For a responsible 401(k) plan fiduciary, the revocation of the Prior Guidance does not give the green light to add cryptocurrency as an investment option; rather, it simply places cryptocurrency on a level playing field with any other potential investment option.  In other words, it removes EBSA’s prior heightened scrutiny of cryptocurrency as a 401(k) plan investment option.  This means a potential cryptocurrency investment should be reviewed and vetted by plan fiduciaries in the same manner as any other investment, by conducting a prudent process and adhering to the duty of loyalty. Such process may include analyzing and documenting whether the investment option:

  • provides participants with diversified alternatives, expanding on risk and return characteristics;
  • offers returns that can be effectively monitored (correlated to a benchmark);
  • possesses reasonable expenses;
  • provides adequate disclosure for participants to evaluate the investment; and
  • is permitted under the plan’s investment policy statement.

In issuing the New Guidance, EBSA did not dismiss the concerns listed in the Prior Compliance release regarding returns, regulatory development, participant comprehension, and unique custodial, recordkeeping and valuation considerations, which will still present challenges when evaluating cryptocurrencies in the same way as other investment options. However, EBSA was clear that it no longer “disapproves” of cryptocurrency as an investment consideration, and a plan fiduciary’s decision should consider all relevant facts and circumstances and will “necessarily be context specific” (referencing Fifth Third Bancorp v. Dudenhoeffer, 573 U.S. 409, 425 (2014)).  In other words, the appropriateness of cryptocurrency as an investment should focus on the specific needs of the plan, the unique characteristics of the population, and the reasonableness of the fiduciaries’ judgment.

In light of these changes, those in charge of plan administration must carefully review the applicable disclosure obligations and work closely with the plan actuary and legal counsel to ensure accurate and timely compliance. Plan fiduciaries that wish to consider cryptocurrency as a potential 401(k) plan investment option should work with their investment advisor to evaluate whether such an investment option is appropriate for their plan, taking into account the relevant facts and circumstances for their plan population, and analyzing the various considerations solely in the interest of plan participants in a prudent manner with a well-documented demonstration of their decision-making process.  This should include a process to appropriately monitor the cryptocurrency investment, understand and evaluate the reasonableness of its fees, and assess whether sufficient education on the investment can be provided to the participant population.

If you have questions about the New Guidance, please contact us.

The Prior Guidance was issued by EBSA during the last.


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