The Real Cost of NSA Arbitration

An In-Depth Review of More Than 1.25 Million Federal Disputes

Natiuonal NSA Report Flyer

Mental Health Parity at a Crossroads

November 3, 2025

David Ostrowsky analyzes the shifting state of mental health parity compliance under the MHPAEA, as the Biden administration’s 2024 final rules face legal challenges and enforcement delays under the Trump administration. He highlights how these developments heighten uncertainty for plan sponsors while reinforcing the need to review network adequacy, treatment limitations, and parity analyses to meet ERISA fiduciary duties.