Mental health and substance use disorder coverage discrimination was banned in 2008, when Congress passed (MHPAEA
) but weak enforcement has allowed insurance companies to get away with discrimination under the radar.
The Affordable Care Act (ACA) applied the MHPAEA
to issuers in the individual market and qualified health plans offered through a Marketplace, including the Small Business Health Options Program known as SHOP, https://www.cms.gov/cciio/programs-and-initiatives/other-insurance-protections/mhpaea_factsheet.html.
As early federal parity efforts did not achieve desired improvements in access to care, advocates lobbied for a stronger bill, culminating in the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA
Alene Kennedy-Hendricks, Ph.D., from the Johns Hopkins Bloomberg School of Public Health in Baltimore, and colleagues used a difference-in-differences approach to compare commercially insured children aged 3 to 18 years in 2008 who were continuously enrolled in plans newly subject to parity under MHPAEA
with those enrolled in plans never subject to parity.
Officials look at MHPAEA
compliance at one in every 12,000 plans they regulate.
Hardiman says MHPAEA
's own terms and recent federal appellate court decisions have determined there is no private right to enforce parity.
and ACA may be changing this by expanding access to health insurance, deepening mandates for parity, and offering unprecedented opportunities for service growth and delivery-system reform.
In addition, MHPAEA
's narrow preemption language has led to surprising and extreme interpretations of employer and issuer obligations under state parity statutes that have led to significant equitable relief.
To ensure that individuals would have the same access to mental health care as other forms of health care, the Mental Health Parity and Addiction Equity Act (MHPAEA
) was enacted.
Bush signed the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act ("MHPAEA
") into law as a provision of Emergency Economic Stabilization Act of 2008.
requires that coverage for substance use disorders be
This landmark event for mental health coverage and benefits was essentially the final aspect of implementing The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA
), which was signed into law by President Bush in 2008.