The DOI matches its Crossref record; 12 of the 12 references it cites were found in a registry or an index.
State Mental Health Parity Laws: Cause Or Consequence Of Differences In Use?: States that pass parity laws have fewer persons using mental health services to begin with—which may explain their propensity to legislate in this volatile area.
Abstract
A new wave of state and federal legislation affecting mental health insurance was passed during the 1990s. Although patient advocacy groups have hailed the passage of numerous parity laws, it is unclear whether this activity represents a major improvement in insurance benefits or significantly increases access to mental health care. We investigated this issue with data from two new national studies sponsored by the Robert Wood Johnson Foundation. We found that states with below-average utilization were more likely to enact state legislation, but utilization in those states continues to lag behind the rest of the nation.
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Before MHPAEA, state and federal attempts to improve equity of employer-sponsored behavioral health coverage did not match MHPAEA's inclusivity of SUD benefits.
“Before MHPAEA, state and federal attempts to improve equity of employer-sponsored BH coverage did not match MHPAEA's inclusivity of SUD benefits.”
From The Mental Health Parity and Addiction Equity Act evaluation study: Impact on specialty behavioral healthcare utilization and spending among enrollees with substance use disorders (2017) · cites this paper as Sturm & Pacula, 1999
Forty-five states enacted some form of parity law, but only five states included SUD benefits in their parity laws.
“Forty-five states enacted some form of parity law, although different conditions, benefits, and employer groups were included in each of the mandates (Sturm & Pacula, 1999). Notably, only five states included SUD benefits in their parity laws (Barry, Huskamp, & Goldman, 2010).”
From The Mental Health Parity and Addiction Equity Act evaluation study: Impact on specialty behavioral healthcare utilization and spending among enrollees with substance use disorders (2017) · cites this paper as Sturm & Pacula, 1999
Citations
Cites
The de Facto US Mental and Addictive Disorders Service System
Regier, D. A. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820140007001 · Cited by 1,988
Costs And Use Of Mental Health Services Before And After Managed Care
Goldman, W., McCulloch, J., & Sturm, R. (1998) · Health Affairs · doi:10.1377/hlthaff.17.2.40 · Cited by 228
Self-citationWells, K. B., Sturm, R., Sherbourne, C. D., & Meredith, L. S. (1996) · Medical Entomology and Zoology · Cited by 226
Self-citationHow Expensive Is Unlimited Mental Health Care Coverage Under Managed Care?
Sturm, R. (1997) · JAMA · doi:10.1001/jama.1997.03550180085045 · Cited by 128
Self-citationEffects of state reforms on health insurance coverage of adults.
Fa, S., & Cj, C. (1998) · PubMed · Cited by 94
The Politics And Economics Of Mental Health ‘Parity’ Laws
Frank, R. G., Koyanagi, C., & McGuire, T. G. (1997) · Health Affairs · doi:10.1377/hlthaff.16.4.108 · Cited by 91
Employer‐Sponsored Health Insurance and Mandated Benefit Laws
Jensen, G. A., & Morrisey, M. A. (1999) · Milbank Quarterly · doi:10.1111/1468-0009.00147 · Cited by 88
Sturm, R., Gresenz, C. R., Sherbourne, C. D., Minnium, K., Klap, R. S., Bhattacharya, J., Farley, D. O., Young, A. S., Burnam, M. A., & Wells, K. B. (1999) · PubMed · Cited by 87
Self-citation(1959) · New England Journal of Medicine · doi:10.1056/nejm195907162610313 · Cited by 75
Sturm, R., & McCulloch, J. (1998) · PubMed · Cited by 46
Self-citationManaged Behavioral Health Services for Children Under Carve-Out Contracts
Gresenz, C. R., Liu, X., & Sturm, R. (1998) · Psychiatric Services · doi:10.1176/ps.49.8.1054 · Cited by 24
Self-citationFinancing universal health care coverage for America's children.
Frenkel, M. P. C. (1998) · PubMed · Cited by 8
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Research works printed but not linked: 11
- 1998, State Mental Illness Parity Laws
- Sturm R., 1998, Journal of Health Care Finance, 24, 84
- 1998, Health Care Plan Design and Cost Trends—1988 through 1997
- 10.1377/hlthaff.17.2.40 · DOI
- 10.1377/hlthaff.17.2.40 · DOI
- 10.1111/1468-0009.00147 · DOI
- Sloan F.A., 1998, Inquiry, 35, 280
- Rep. Edolphus Towns (D-NY), 1996, Congressional Record, H10965
- Sturm R., 1999, Inquiry, 36
- Kemper P., 1996, Inquiry, 33, 195
- 10.1001/archpsyc.1993.01820140007001 · DOI
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Bridging Community Intervention and Mental Health Services Research
Wells, K., Miranda, J., Bruce, M. L., Alegria, M., & Wallerstein, N. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.6.955 · Cited by 237
Managed Behavioral Health Care in the Public Sector: Will It Become the Third Shame of the States?
Mowbray, C. T., Grazier, K. L., & Holter, M. C. (2002) · Psychiatric Services · doi:10.1176/appi.ps.53.2.157 · Cited by 86
Sturm, R. (2000) · The Journal of Mental Health Policy and Economics · doi:10.1002/mhp.97 · Cited by 77
Self-citationOvercoming barriers to reducing the burden of affective disorders
Wells, K. B., Miranda, J. M., Bauer, M. S., BRUCE, M. L., Durham, M., Escobar, J. I., Ford, D. E., Gonzalez, J., Hoagwood, K., Horwitz, S. M., et al. (2002) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01403-8 · Cited by 76
Mental health parity legislation: much ado about nothing?
Pacula, R. L., & Sturm, R. (2000) · PubMed Central · Cited by 71
Self-citationTracking changes in behavioral health services: How have carve-outs changed care?
Sturm, R. (1999) · The Journal of Behavioral Health Services & Research · doi:10.1007/bf02287297 · Cited by 69
Self-citationMental health parity legislation, cost-sharing and substance-abuse treatment admissions
Dave, D., & Mukerjee, S. (2009) · Health Economics · doi:10.1002/hec.1577 · Cited by 63
Are barriers to mental health and substance abuse care still rising?
Sturm, R., & Sherbourne, C. D. (2001) · The Journal of Behavioral Health Services & Research · doi:10.1007/bf02287236 · Cited by 59
Self-citationState Parity Laws and Access to Treatment for Substance Use Disorder in the United States
Wen, H., Cummings, J. R., Hockenberry, J. M., Gaydos, L. M., & Druss, B. G. (2013) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2013.2169 · Cited by 60
Bao, Y., & Sturm, R. (2004) · Health Services Research · doi:10.1111/j.1475-6773.2004.00294.x · Cited by 54
Self-citationAre mental health insurance mandates effective? Evidence from suicides
Klick, J., & Markowitz, S. (2005) · Health Economics · doi:10.1002/hec.1023 · Cited by 52
Behavioral Health and Health Care Reform
Mechanic, D. (2011) · Journal of Health Politics Policy and Law · doi:10.1215/03616878-1271207 · Cited by 50
Chatterji, P., Decker, S. L., & Markowitz, S. (2015) · Journal of Policy Analysis and Management · doi:10.1002/pam.21814 · Cited by 41
Baldwin, L., Patanian, M. M., Larson, E. H., Lishner, D. M., Mauksch, L. B., Katon, W. J., Walker, E. A., & Hart, L. G. (2005) · The Journal of Rural Health · doi:10.1111/j.1748-0361.2006.00003.x · Cited by 37
Trivedi, A. N., Swaminathan, S., & Mor, V. (2008) · JAMA · doi:10.1001/jama.2008.888 · Cited by 36
Health insurance may be improving--but not for individuals with mental illness.
Sturm, R., & Wells, K. B. (2000) · PubMed Central · Cited by 35
Self-citationPriorities for policy research on treatments for alcohol and drug use disorders
McCarty, D. W., McConnell, K. J., & Schmidt, L. A. (2010) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2010.05.003 · Cited by 28
A Comparative Analysis of Mandated Benefit Laws, 1949–2002
Laugesen, M., Paul, R. R., Luft, H. S., Aubry, W. M., & Ganiats, T. G. (2006) · Health Services Research · doi:10.1111/j.1475-6773.2006.00521.x · Cited by 28
Effects of Mental Health Benefits Legislation
Sipe, T. A., Finnie, R. K. C., Knopf, J. A., Qu, S., Reynolds, J. A., Thota, A. B., Hahn, R. A., Goetzel, R. Z., Hennessy, K. D., McKnight-Eily, L. R., et al. (2015) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2015.01.022 · Cited by 27
Policy Challenges in Improving Mental Health Services: Some Lessons From the Past
Mechanic, D. (2003) · Psychiatric Services · doi:10.1176/appi.ps.54.9.1227 · Cited by 25
Full Parity: Steps Toward Treatment Equity For Mental And Addictive Disorders
Hennessy, K. D., & Goldman, H. H. (2001) · Health Affairs · doi:10.1377/hlthaff.20.4.58 · Cited by 22
Organizational and Financial Issues in the Delivery of Substance Abuse Treatment Services
Horgan, C. M., Reif, S., Ritter, G. A., & Lee, M. T. (2002) · Springer eBooks · doi:10.1007/978-0-306-47193-3_2 · Cited by 20
Subsidizing Addiction: Do State Health Insurance Mandates Increase Alcohol Consumption?
Klick, J., & Stratmann, T. (2006) · The Journal of Legal Studies · doi:10.1086/498830 · Cited by 19
Does the Sunset of Mental Health Parity Really Matter?
Gitterman, D. P., Sturm, R., Pacula, R. L., & Scheffler, R. M. (2001) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1023/a:1011113932599 · Cited by 19
Self-citationToward Full Mental Health Parity And Beyond
Gitterman, D. P., Sturm, R., & Scheffler, R. M. (2001) · Health Affairs · doi:10.1377/hlthaff.20.4.68 · Cited by 17
Self-citationImpact of State Mental Health Parity Laws on Access to Autism Services
Bilaver, L., & Jordan, N. (2013) · Psychiatric Services · doi:10.1176/appi.ps.201200411 · Cited by 16
Friedman, S., Xu, H., Harwood, J. M., Azocar, F., Hurley, B., & Ettner, S. L. (2017) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2017.06.006 · Cited by 14
“Forty-five states enacted some form of parity law, although different conditions, benefits, and employer groups were included in each of the mandates (Sturm & Pacula, 1999).”
BackgroundBenefits in Behavioral Health Carve-Out Plans of Fortune 500 Firms
Merrick, E. L., Garnick, D. W., Horgan, C. M., Goldin, D., Hodgkin, D., & Sciegaj, M. (2001) · Psychiatric Services · doi:10.1176/appi.ps.52.7.943 · Cited by 13
Mental Health Parity Legislation, Cost-Sharing and Substance Abuse Treatment Admissions
Dave, D., & Mukerjee, S. (2008) · National Bureau of Economic Research · doi:10.3386/w14471 · Cited by 13
Institutions, Politics, and Mental Health Parity
Hernandez, E. M., & Uggen, C. (2012) · Society and Mental Health · doi:10.1177/2156869312455436 · Cited by 12
Drug Policy: Insights from Mathematical Analysis
Caulkins, J. P. (2005) · International series in management science/operations research/International series in operations research & management science · doi:10.1007/1-4020-8066-2_12 · Cited by 12
Vernon, D., Salsberg, E. S., Erikson, C. A., & Kirch, D. G. (2009) · Academic Psychiatry · doi:10.1176/appi.ap.33.3.187 · Cited by 12
The Current And Future State of Mental Health Insurance Parity Legislation.
Kjorstad, M. C. (2003) · Psychiatric Rehabilitation Journal · doi:10.2975/27.2003.34.42 · Cited by 9
Measuring costs of guideline-driven mental health care: the Texas Medication Algorithm Project
Kashner, T. M., Rush, A. J., & Altshuler, K. Z. (1999) · The Journal of Mental Health Policy and Economics · doi:10.1002/(sici)1099-176x(199909)2:3 · Cited by 25
Self-citationDouglas, M. D., Weber, S. B., Bass, C., Li, C., Gaglioti, A. H., Benevides, T. W., & Heboyan, V. (2021) · Psychiatric Services · doi:10.1176/appi.ps.202100019 · Cited by 8
Are Mental Health Insurance Mandates Effective? Evidence from Suicides
Klick, J., & Markowitz, S. (2003) · National Bureau of Economic Research · doi:10.3386/w9994 · Cited by 7
Alcohol & Drug Abuse: Is Parity for the Treatment of Substance Use A: Disorders Really Sensible?
Greenfield, S. F. (2005) · Psychiatric Services · doi:10.1176/appi.ps.56.2.153 · Cited by 4
Social Security Disability Insurance Enrollment and Health Care Employment
Pellegrini, L. C., & Geissler, K. H. (2017) · Health Services Research · doi:10.1111/1475-6773.12764 · Cited by 4
Policies for the Treatment of Alcohol and Drug Use Disorders: A Research Agenda for 2010-2015
McCarty, D. W., McConnell, K. J., & Schmidt, L. A. (2009) · Issue Lab (Candid) · Cited by 4
External Review of Health Plan Denials of Mental Health Services: Lessons from Minnesota
Foote, S. B., Virnig, B. A., Bockstedt, L. A., & Lomax, Z. (2006) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-006-0074-y · Cited by 3
Science discovery in clinician-economist collaboration: legacy and future challenges.
Wells, K. B. (2002) · PubMed · Cited by 3
Addiction Research Centres and the Nurturing of Creativity. RAND's Drug Policy Research Center
Reuter, P., Pacula, R. L., & Caulkins, J. P. (2010) · Addiction · doi:10.1111/j.1360-0443.2010.03017.x · Cited by 2
Self-citationIntegrating Addiction Medicine With Psychiatry: Clinical Collaboration and Resource Parity
Rorro, M., & Gastfriend, D. R. (2001) · Psychiatric Annals · doi:10.3928/0048-5713-20011101-05 · Cited by 2
Labor Force Participation, Disability, and Implications for Healthcare Utilization and Employment
Pellegrini, L. C. (2021) · ScholarWorks@UMassAmherst (University of Massachusetts Amherst) · doi:10.7275/9466050.0 · Cited by 1
Alcoholism Treatment in Managed Private Sector Plans
Sturm, R., Stein, B. D., Zhang, W., & Stan, P. J. E. (2002) · Springer eBooks · doi:10.1007/978-0-306-47193-3_15 · Cited by 1
Self-citationTechnological Innovation and Policy Responses in Health Care
Botta, M. D. (2013) · Digital Access to Scholarship at Harvard (DASH) (Harvard University)
Consequences of Government Provision and Regulation of Health Insurance
Andersen, M. S. (2012) · Digital Access to Scholarship at Harvard (DASH) (Harvard University)
Sisler, D. (2000)
Three essays on the effects of health insurance and taxation policies
Ye, J. (2016) · Syracuse University Libraries (Syracuse University)
The effects of state and federal mental health parity laws on working time in the US
Ye, J., & Peng, B. (2024) · Economic Analysis and Policy · doi:10.1016/j.eap.2024.04.008
Metadata
- Authors
- Sturm, R., & Pacula, R. L.
- Affiliations
- RAND Corporation (US)
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 1999-09
- Volume
- 18
- Issue
- 5
- Pages
- 182-192
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W2164871592
- Cited by
- 51
- References
- 12
- Citations by year
- 2024: 1 · 2021: 2 · 2017: 2 · 2016: 1 · 2015: 2 · 2013: 3 · 2012: 2
- FWCI
- 15.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r29mh054147-05)
- National Institute of Mental Health (MH54623, P50MH054623, MH54147)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Health Professions › General Health Professions › Health, Medicine and Society
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- mental health coverage, health care utilization, state legislation, access to mental health care, insurance coverage, health policy, patient advocacy
- MeSH terms
- Health Maintenance Organizations, Humans, Insurance Benefits, Mental Health Services, State Health Plans, United States, Utilization Review, Health Care Rationing
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