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October 30, 2008

Mental Health Parity

Did any notice the irony of the bailout being piggybacked through on the mental health parity bill? It is beyond my ken which bill helped the other. American Medical News (AMA) reported the parity law as "a provision in the law" but I think this is backwards. This has even more irony than when EMTALA was piggybacked as part of the Budget Reconciliation Act.

The parity law requires that employer-based group health plans that have more than 50 members and cover medical and surgical plus mental health or substance abuse must set equal financial requirements and equal treatment limitations for both med-surg and MH/SA.


(Note that this still does not apply to all insurance plans, though over a third of Americans are affected. And this condition already applies to CHIP and Medicaid and federal employees plans. And this is not a new law. The Mental Health Parity Act of 1996 made these requirements but it has been an annual issue in Congress since to make this stick.)

It is not clear what constitutes mental health since the compromise version dropped the House requirement that all DSM Mental Disorders version 4 be covered. I suppose this leaves the health plan to define that for themselves.

So there is no irony that a bailout of pure fasicsm also dictates the conditions to the insurance industry.

But is it not ironic that by requiring this kind of coverage, they have increased the cost of healthcare, which is one of the major issues in our economic situation?

Is the bailout meant to improve the mental health of the American people?

Cultural iatrogenesis | By Robert Maddox | 8:45 AM

Comments

I wonder if its still 'piggybacking' when the bailout will have such drastic consequences compared to the bill it rode in on. A bit like an elephant riding a grasshopper. I also wonder why they felt they had to 'piggyback' it in the first place. An attempt to sneak it by the public I suppose.

Posted by: Patrick at November 14, 2008 2:31 PM

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