At long last, the Administration has released the final rule implementing the Mental Health Parity and Addiction Equity Act of 2008 . This will extend mental health insurance benefits on a par with medical/surgical benefits to at least 30 million more people. And, more importantly, we have finally ushered in a 21 st Century response to a set of diseases for which we still often employ 19 th Century treatments – locking the door and throwing away the key. The Mental Health Parity Act (MHPA) was passed in 2008. Its purpose was to end insurance discrimination against people with mental illness. For larger group health plans, it outlawed annual and lifetime limits on mental health or substance use disorder benefits when there are no annual or lifetime limits on medical/surgical benefits. And it required that co-insurance and co-payments be substantially the same for both mental health and regular medical/surgical procedures. As it turned out, the...
An occasional column focusing on federal, state, and local health policy