Let's achieve mental health parity
now.
by Wellstone, David
As psychiatrists and other mental health professionals know very
well, mental health and addiction treatment parity is long overdue in
this country.
The 1996 Mental Health Parity Act--sponsored by my father, the late
Sen. Paul Wellstone (D-Minn.) and Sen. Pete Domenici (R-Ariz.)--broke
new ground by prohibiting unequal annual and lifetime limits for mental
illness and addiction, compared with coverage for other medical and
surgical illnesses. But insurers violated the spirit of the law by
setting new visit limits, higher copayment and deductible fees, and
other requirements for mental health and addiction treatment. Because of
those shortcomings, mental health champions, like my dad, continued to
press for legislation that was more comprehensive.
We just might be a little closer to achieving real mental health
and addiction parity, thanks to legislation passed in early March by the
House of Representatives. The legislation, called the Paul Wellstone
Mental Health and Addiction Equity Act, reflects years of negotiations
with advocates for patients with mental illness, insurers, and business
groups.
The bipartisan bill (H.R. 1424), sponsored by Rep. Patrick Kennedy
(D-R.I.) and Rep. Jim Ramstad (R-Minn.), provides for parity in mental
health and addiction benefits by prohibiting group health plans from
imposing discriminatory annual/lifetime dollar limits, copayments and
deductibles, or day and visit limits unless such limitations or
requirements are imposed for other medical and surgical benefits.
The next step is for the House sponsors of this bill to sit down
with the sponsors of the Senate version of the bill (Sen. Edward Kennedy
[D.-Mass.] and Sen. Domenici) to reconcile the two versions. These
negotiations are critically important.
I believe strongly that the patient protections in the House bill,
such as greater access to care, must be included in the final bill. The
weaker Senate version (S. 558) would allow plans to choose which
diagnoses they want to cover, but the House version would require that
the DSM be used as the basis for coverage.
Without these protections, insurance plans would be able to
"discriminate by diagnosis" and plans could undermine the very
essence of this legislation: fairness.
We look forward to the day when patients with mental illness and
addiction receive fair, humane, and timely care. Mental health
professionals must step up and let their senators and representatives
know that they must make that day a reality now.
MR. WELLSTONE, son of the late Sen. Paul Wellstone, is cofounder of
Wellstone Action, a nonprofit organization dedicated to training and
leadership development.
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