Evidence map›Paper›PMID 36300284›Full record

ArticlePsychiatric services (Washington, D.C.)2023

Enforcement of the Mental Health Parity and Addiction Equity Act: State Insurance Commissioners' Statutory Capacity.

Rachel Presskreischer, Colleen L Barry, Adria K Lawrence, Alexander McCourt, Ramin Mojtabai, Emma E McGinty

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rachel PresskreischerDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York City (Presskreischer); Brooks School of Public Policy, Cornell University, Ithaca, New York (Barry); Department of Political Science, Krieger School of Arts and Sciences, Johns Hopkins University, Baltimore (Lawrence); Department of Health Policy and Management (McCourt) and Department of Mental Health (Mojtabai), Johns Hopkins Bloomberg School of Public Health, Baltimore; Department of Population Health Sciences, Weill Cornell Medical College, New York City (McGinty).
Colleen L BarryDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York City (Presskreischer); Brooks School of Public Policy, Cornell University, Ithaca, New York (Barry); Department of Political Science, Krieger School of Arts and Sciences, Johns Hopkins University, Baltimore (Lawrence); Department of Health Policy and Management (McCourt) and Department of Mental Health (Mojtabai), Johns Hopkins Bloomberg School of Public Health, Baltimore; Department of Population Health Sciences, Weill Cornell Medical College, New York City (McGinty).
Adria K LawrenceDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York City (Presskreischer); Brooks School of Public Policy, Cornell University, Ithaca, New York (Barry); Department of Political Science, Krieger School of Arts and Sciences, Johns Hopkins University, Baltimore (Lawrence); Department of Health Policy and Management (McCourt) and Department of Mental Health (Mojtabai), Johns Hopkins Bloomberg School of Public Health, Baltimore; Department of Population Health Sciences, Weill Cornell Medical College, New York City (McGinty).
Alexander McCourtDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York City (Presskreischer); Brooks School of Public Policy, Cornell University, Ithaca, New York (Barry); Department of Political Science, Krieger School of Arts and Sciences, Johns Hopkins University, Baltimore (Lawrence); Department of Health Policy and Management (McCourt) and Department of Mental Health (Mojtabai), Johns Hopkins Bloomberg School of Public Health, Baltimore; Department of Population Health Sciences, Weill Cornell Medical College, New York City (McGinty).
Ramin MojtabaiDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York City (Presskreischer); Brooks School of Public Policy, Cornell University, Ithaca, New York (Barry); Department of Political Science, Krieger School of Arts and Sciences, Johns Hopkins University, Baltimore (Lawrence); Department of Health Policy and Management (McCourt) and Department of Mental Health (Mojtabai), Johns Hopkins Bloomberg School of Public Health, Baltimore; Department of Population Health Sciences, Weill Cornell Medical College, New York City (McGinty).
Emma E McGintyDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York City (Presskreischer); Brooks School of Public Policy, Cornell University, Ithaca, New York (Barry); Department of Political Science, Krieger School of Arts and Sciences, Johns Hopkins University, Baltimore (Lawrence); Department of Health Policy and Management (McCourt) and Department of Mental Health (Mojtabai), Johns Hopkins Bloomberg School of Public Health, Baltimore; Department of Population Health Sciences, Weill Cornell Medical College, New York City (McGinty).

Funding

Mental Health Services and Systems Training ProgramT32MH109436 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Matthew Eisenberg, Elizabeth A. Stuart · 2017 to 2026
$1.7M
Using propensity scores for causal inference with covariate measurement errorR01MH099010 · NIMH · JOHNS HOPKINS UNIVERSITY · PI STUART, ELIZABETH A. · 2013 to 2016
$1.1M
NIMH NIH HHS R01 MH099010NIMH NIH HHS T32 MH109436
6 · The paper itself

Abstract

objectiveState insurance departments enforce the federal Mental Health Parity and Addiction Equity Act (MHPAEA) for fully insured employer-sponsored health plans and plans on the individual marketplace. Variable enforcement among states may drive patients' difficulties in accessing behavioral health treatment. This study explored insurance commissioners' statutory capacity for enforcing the MHPAEA.

methodsLegal mapping of insurance office powers and responsibilities was conducted for MHPAEA-enforcing states. Relevant state laws and regulations were gathered from the Westlaw database. Sections were coded in the categories commissioner selection, frequency of examinations, fines, licenses, subpoenas, investigations and hearings, rehabilitation or liquidation of insurers, and initiation of legal actions.

resultsThe sample included 450 sections of states' codes and regulations. The 46 states that enforced the MHPAEA showed only small differences in the powers and responsibilities of insurance commissioners.

conclusionsSimilarities across states in statutory capacity of commissioners suggest that it is not a primary source of variation in MHPAEA enforcement.

Indexed as

Behavior, AddictiveHealth EquityMental Health ServicesHumansInsurance CoverageInsurance, HealthMental HealthUnited StatesHealth insuranceMental Health Parity and Addiction Equity Act (MHPAEA)Mental health policyPublic healthStatutory authority

Identifiers

PMID36300284
PMCPMC10953802

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.