How the Affordable Care Act and Mental Health Parity and Addiction Equity Act Greatly Expand Coverage of Behavioral Health Care

Kirsten Beronio, Sharon Glied, Richard Frank

Research output: Contribution to journalArticle

Abstract

The Patient Protection and Affordable Care Act (ACA) will expand coverage of mental health and substance use disorder benefits and federal parity protections to over 60 million Americans. The key to this expansion is the essential health benefit provision in the ACA that requires coverage of mental health and substance use disorder services at parity with general medical benefits. Other ACA provisions that should improve access to treatment include requirements on network adequacy, dependent coverage up to age 26, preventive services, and prohibitions on annual and lifetime limits and preexisting exclusions. The ACA offers states flexibility in expanding Medicaid (primarily to childless adults, not generally eligible previously) to cover supportive services needed by those with significant behavioral health conditions in addition to basic benefits at parity. Through these various new requirements, the ACA in conjunction with Mental Health Parity and Addiction Equity Act (MHPAEA) will expand coverage of behavioral health care by historic proportions.

Original languageEnglish (US)
Pages (from-to)410-428
Number of pages19
JournalJournal of Behavioral Health Services and Research
Volume41
Issue number4
DOIs
StatePublished - 2014

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Patient Protection and Affordable Care Act
Parity
addiction
Mental Health
equity
coverage
mental health
act
health care
Delivery of Health Care
Substance-Related Disorders
Medicaid
Insurance Benefits
health
flexibility
exclusion
Health

ASJC Scopus subject areas

  • Health(social science)
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

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