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Toward full mental health parity and beyond
D P Gitterman1, R Sturm, R M Scheffler
1University of North Carolina at Chapel Hill, USA.
Health Affairs (Project Hope)
|July 21, 2001
Summary
The 1996 Mental Health Parity Act (MHPA) advanced mental health benefit equity but faces expiration. Achieving true parity requires addressing managed behavioral health care and exploring further steps for comprehensive mental health care equity.
Area of Science:
- Health Services Research
- Health Policy Analysis
Background:
- The Mental Health Parity Act (MHPA) of 1996 aimed to equalize mental health benefits with medical/surgical benefits.
- MHPA became effective in 1998 and was set to expire in September 2001, necessitating an evaluation of its impact.
Purpose of the Study:
- To assess the accomplishments of the MHPA.
- To identify steps towards achieving more comprehensive mental health parity.
- To analyze the relationship between parity and managed behavioral health care.
Main Methods:
- Policy analysis of the Mental Health Parity Act.
- Examination of the integration of parity principles within managed behavioral health care systems.
- Review of arguments regarding the sufficiency of full parity for achieving equity.
Main Results:
- The MHPA achieved initial progress in mental health benefit parity.
- A strong, self-reinforcing link exists between parity and managed behavioral health care, making reversal difficult.
- Questions persist about whether full parity is sufficient for true equity.
Conclusions:
- The path toward comprehensive mental health parity is established but challenging to reverse.
- Further considerations are needed regarding the adequacy of full parity and the desirability of additional steps for equitable mental health care.
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