Mental Health Parity and Addiction Equity Act
CLICK HERE for the link below provides important information regarding what parity means and how each state has been evaluated on state mental health and addiction parity statutes.
“A 2017 report by Milliman confirmed that reimbursement rates for mental health and substance use disorder treatment providers, through private insurance plans, were far lower than reimbursement rates for other medical providers, relative to Medicare rates.
When insurance plans do not reimburse providers adequately, many choose not to participate in the plans’ networks. So, when someone makes a decision to seek help – yet they are unable to find a provider in network – they often have to go out-of-network, resulting in higher costs. Many people give up simply because they can’t afford treatment. For this and other reasons, parity has become a human rights issue.”
“Common Parity Violations such as setting limits on how many days a patient can stay in a treatment facility or how many times they can see a behavioral health provider” are provided also.
Mental Health and Addiction Parity Statues Grades on States:
A – Illinois
B – no state
C – Alabama, Colorado, Maine, New Hampshire, Tennessee and Virginia
D & F – The rest of the states with the majority getting an “F.” California received an “F.”
The link also “describes the process that was used to identify key elements of legal codes relating to parity across all 50 states and summarizes the research that assessed the strength and quality of statutes using a quantitative and systematic coding methodology.”
We should be celebrating this law today. With a grade of “F” we don’t have much to celebrate.
If you care about this issue, you can call
Dave Jones: California Insurance Commissioner
(There is no email to write to the Commissioner regarding parity but this is the phone number of the legislative office.)