NAMI Indiana seeks and promotes equal access to services and benefits for people living with mental illness, in both the private and public sectors.
What should I do if I suspect a parity violation?
- Review the Parity Resource Guide by the Kennedy Forum and/or Community Catalyst's Guidance For Advocates to strengthen your understanding of the federal parity law and the appeals process. This will help you argue your case!
- Appeal with your health plan (if applicable).
- If the internal appeal is denied, file a complaint with the appropriate regulatory agency.
| File with...|
Indiana Department of Insurance
(or state insurance authority if not in Indiana)
| File with...|
U.S. Department of Labor Employee Benefits Security Administration
Indiana Family and Social Services Administration (FSSA) Office of Hearings and Appeals
(external resources can be found at the end of this page)
1996 - Mental Health Parity Act of 1996 is passed.
2008 - Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 is passed. This builds upon the 1996 Mental Health Parity Act. MHPAEA requires group health plans and insurers that choose to offer mental health and substance disorder benefits, to do so at parity with medical and surgical benefits.
2010 - MHPAEA becomes effective. The Patient Protection and Affordable Care Act is passed, which, over the coming years, will open the door to health coverage for many uninsured Americans.
2013 - MHPAEA final regulations are (finally!) issued by HHS.
2014 - As a result of the ACA, small group and individual market plans are required to meet "essential benefits" guidelines, which includes mental health and substance abuse services. Prior to this, only health plans that chose to offer mental health and/or substance abuse services had to offer them at parity with medical and surgical benefits (all or nothing).
2015 - Indiana expands the Healthy Indiana Plan (Indiana's Medicaid program), which could potentially cover 350,000 otherwise uninsured Hoosiers. All newly covered individuals will have mental health and substance disorder coverage at parity with their medical and surgical benefits.
Obama Administration Issues Final Rule Setting Mental Health Parity Requirements - Bloomberg BNA (11/12/2013)