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Mental Health Parity Act ends discrimination |
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People living with mental health conditions have long seen their health plans limit visits to mental health professionals and hospital stays and charge higher co-payments than those for their other medical coverage. But a bill to end insurance discrimination against Americans with mental health conditions in employer-sponsored health plans was passed into law as part of the economic recovery act on Oct 3. The landmark mental health parity law, which has been signed by President Bush, will allow more than one-third of all Americans to receive equal coverage of mental and physical illnesses. It will require group health insurance plans to cover mental illnesses, such as major depression, bipolar disorder and schizophrenia, and substance abuse disorders on the same terms and conditions as other illnesses. The law is projected to be effective for most health plans as of January 1, 2010. It will provide parity for 82 million Americans covered by self-insured plans and another 31 million in plans that are subject to state regulation. What are the new requirements? Existing state laws, which may provide broader coverage, also apply. (The National Alliance on Mental Health explains individual state laws. Scroll list.) The legislation also establishes an important oversight mechanism to determine if insurers are discriminating against certain conditions or failing to cover some treatments. Cost Exemption: A health plan is allowed to be exempted from the federal parity law if it can prove that parity is raising its total plan costs by more than 2 percent in the first year after enactment of the parity law and 1 percent thereafter. But plans must first implement parity for at least six months.
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The new law, the Paul Wellstone-Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, is the result of tireless advocacy by organizations such as the National Alliance on Mental Illness and Mental Health America and the bipartisan effort in Washington of sponsors Representatives Patrick Kennedy (D-RI) and Jim Ramstad (R-MN), as well as Senators Pete Domenici (R-NM), Ted Kennedy (D-MA), and Mike Enzi (R-WY).
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Page updated November 1, 2008 |
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