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Texas Department of Insurance
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Mental Health and Substance Use Disorder Parity Rules

Data collection

Division 2 of TDI's parity rules at 28 TAC Chapter 21, Subchapter P, requires issuers to submit data annually, using the data collection form:

Data must be submitted to HealthParity@tdi.texas.gov by July 1. Any questions regarding the data collection requirements may also be sent to HealthParity@tdi.texas.gov.

Rule

TDI rules related to mental health and substance use disorder parity are at 28 TAC Chapter 21, Subchapter P. Templates for completing the parity compliance analyses required by Division 3 of the rule are below.

Legislation

The rules, data collection, and compliance analyses addressed on this page implement House Bill 10, which was enacted by the 85th Texas Legislature in 2017. The bill also required TDI and HHSC to conduct studies:

In 2021, the 87th Texas Legislature enacted HB 2595, which required TDI and HHSC to develop training on parity, coordinate on complaints, and publish annual reports.

Additional resources

How to get help with a mental health issue

HHS Ombudsman for behavioral health

Information on Mental Health and Substance Use Disorder Parity for Medicaid and CHIP Plans

Federal Self-Compliance Tool for the Mental Health Parity and Addiction Equity Act (MHPAEA)

For more information, contact: LHLMgmt@tdi.texas.gov

Last updated: 3/3/2026