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Behavioral health issue brief: mental health and substance abuse parity: year end report-2002.

Parity benefits for mental health continue to be on the agenda of many state legislatures. A broad spectrum of opinions surround what mental health parity could and should be. There are strong proponents that advocate for nothing less than full parity for mental health and substance abuse treatment; equally strong are the groups that oppose parity because they believe it will lead to a health care cost increase and, therefore, an increase in the number of uninsured. Both sides continue to make progress as the victories and the defeats unfold on the floors of state legislatures.

Humans↗

Behavioral health issue brief: minimum mandated benefits and mandated offerings for mental health and substance abuse: year end report-2002.

Benefit mandates require that some service be provided. Mental health and substance abuse treatment mandates are two of the many types of benefit mandates in state law. The debate over mandated benefit legislation typically centers around consumer protection versus cost. Proponents contend that mandates are necessary to ensure adequate health care for consumers. However, opponents generally argue that mandates drive up premiums, which contributes to the growing number of uninsured.

Humans↗

Behavioral health issue brief: parity and other insurance mandates for the treatment of mental illness and substance abuse: year end report-2003.

Parity and other insurance mandates for the treatment of mental illness and substance abuse continue to be on the agenda of many state legislatures. A broad spectrum of opinions surround what mandates for mental health and substance abuse could and should be. The debate over mandated benefit legislation typically centers around consumer protection versus cost. There are strong opponents, for example, that advocate for nothing less than full parity for mental health and substance abuse treatment. Equally strong are the groups that oppose parity because they believe it will lead to a health care cost increase and, therefore, an increase in the number of uninsured. Both sides continue to make progress as the victories and the defeats unfold on the floors of state legislatures.

Health Benefit Plans, Employee↗

Behavioral health issue brief: state budget actions that affect public mental health services and systems: year end report-2003.

With ongoing declines in the economy, states have readjusted their FY 2003 budgets throughout the fiscal year, while at the same time negotiating their upcoming FY 2004 and FY 2005 budgets. Because of the current fluidity of state budgets, this issue brief contains snapshots of actions taken at various times throughout FY 2003. It is intended to provide the reader with a general overview of the effects on public mental health systems, of the decline in state economies. The Health Policy Tracking Service (HPTS) will continue to track this issue, and will update this brief at quarterly intervals.

Budgets↗

Behavioral health issue brief: mental health and children: year end report-2003.

Children with mental health problems face many treatment barriers. Health care coverage, cost, access and availability of services are just a few. Parents are often faced with difficult decisions about their child's treatment. Sometimes the task of finding and paying for treatment is too great and the burden falls on state and county systems of care. Beyond the question of how to obtain services is the question of how to provide them. Since 1999, the debates over the use of physical restraints and psychotropic medications has become more heated.

Adolescent↗

Reasonable modification or fundamental alteration? Recent developments in ADA caselaw and implications for behavioral health policy.

This issue brief examines the concept of fundamental alteration under the Americans with Disabilities Act (ADA); specifically it considers when proposed modifications of public programs under Title II of the ADA will be considered to amount to the type of fundamental alteration that lies beyond judicial power to compel. The issue of when a program change constitutes a fundamental alteration is important in state community integration planning efforts, since these types of changes will require legislative action.

Civil Rights↗