Parity not perfect: making sense of substance addiction equity for case managers

In October of 2008, the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act became a law. It represents a groundbreaking change in substance abuse treatment policy because it redistributes the bulk of costs for substance abuse treatment from the federal government to group health plans. The law required that employee and public insurances that cover health or surgical care also provide comparable terms of coverage and treatment limitations for substance abuse. This article considers shift within the context of a popular substance abuse motto that "reform is progress but not perfect." Specifically, it examines policy implications and their impact on consumers, insurers, providers, and case managers.