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Impaired control: a craving or strong urge to use the substance; desire or failed attempts to cut down or control substance use. Social problems: substance use causes failure to complete major tasks at work, school or home; social, work or leisure activities are given up or cut back because of substance use.
The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) is a federal law that generally prevents group health plans and health insurance issuers that provide mental health and substance use disorder (MH/SUD) benefits from imposing less favorable benefit limitations on those
DSM-5 differentiates two phases of alcohol dependence remission. Early remission means that within 1 year a patient has not had any symptoms of dependence for at least 3 months. Sustained remission means that within a year a patient has not had any symptoms except a strong desire or urge to drink alcohol.
Summary of MHPAEA Protections The Mental Health Parity Act of 1996 (MHPA) provided that large group health plans cannot impose annual or lifetime dollar limits on mental health benefits that are less favorable than any such limits imposed on medical/surgical benefits.
The main arguments against mandates are that: they are too expensive; employers would demand coverage for the condition if that was the economically rational thing to do since they do not, it does not need to be covered; and there is no strong policy justification for requiring coverage of one particular disease over
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The Mental Health Parity Act of 1996 (MHPA) provided that large group health plans cannot impose annual or lifetime dollar limits on mental health benefits that are less favorable than any such limits imposed on medical/surgical benefits.
The Mental Health Parity and Addiction Equity Act (federal parity law) was enacted in 2008 and requires insurance coverage for mental health conditions, including substance use disorders, to be no more restrictive than insurance coverage for other medical conditions.
The concept of parity refers to requiring insurers to treat mental and physical health conditions equally. Health plans say they have been diligently working in good faith to comply with these laws while facing industry-wide challenges like workforce shortages.
The symptoms associated with a substance use disorder fall into four major groupings: impaired control, social impairment, risky use, and pharmacological criteria (i.e., tolerance and withdrawal).
Additionally, California law limits equal coverage to the following mental health conditions: Major depression; Bipolar (manic-depressive) disorder; Panic disorder; Anorexia; Bulimia; Obsessive-compulsive disorder; Autism or Pervasive Developmental Disorder; Schizophrenia; Schizoaffective disorder; and Childrens

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