S. HRG. 1 ACHIEVING PARITY FOR MENTAL HEALTH TREATMENT HEARING OF THE COMMITTEE ON HEALTH, EDUCATIO ONE HUNDRED SEVENTH CONGRESS FIRST SESSION ON EXAMINING MENTAL HEALTH AND OUR ONGOING BATTLE TO JULY 11, 2001 Printed for the use of the Committee on Health, Education, Labor, and Pe For sale by the Superintendent of Documents, U.S. Government Printing Office XF26 CONTENTS STATEMENTS Kennedy, Hon. Edward M., a U.S. Senator from the State of Massachusetts Gregg, Hon. Judd, a U.S. Senator from the State of New Hampshire Domenici, Hon. Pete V., a U.S. Senator from the State of New Mexico Wellstone, Hon. Paul D., a U.S. Senator from the State of Minnesota Roberts, Hon. Pat, a U.S. Senator from the State of Kansas Dodd, Hon. Christopher J., a U.S. Senator from the State of Connecticut Frist, Hon. Bill, a U.S. Senator from the State of Tennessee Murray, Hon. Patty, a U.S. Senator from the State of Washington Cohen, Lisa, Bordentown, NJ; Henry Harbin, M.D., Chairman and Chief Executive Officer, Magellan Health Services, Columbia, MD; and Darrel A. Regier, M.D., Executive Director, American Psychiatric Institute For ACHIEVING PARITY FOR MENTAL HEALTH TREATMENT WEDNESDAY, JULY 11, 2001 U. S. SENATE, COMMITTEE ON HEALTH, EDUCATION, LABOR, AND PENSIONS, Washington, DC. The committee met, pursuant to notice, at 10:02 a.m., in room SD-430, Dirksen Senate Office Building, Senator Kennedy (chairman of the committee) presiding. Present: Senators Kennedy, Dodd, Wellstone, Murray, Reed, Clinton, Gregg, Frist, Roberts, Collins, and Jeffords. OPENING STATEMENT OF SENATOR KENNEDY The CHAIRMAN. We will come to order, if we could, please. This is an extremely important hearing and we have some very significant witnesses and commentators on this issue, and we are looking forward to the hearing very much. I want to welcome all of you to this hearing on mental health and our ongoing battle to see that those suffering from mental illnesses receive the services they need and to provide parity in coverage of mental health services. I particularly commend Senator Wellstone and Senator Domenici for their longstanding commitment and their leadership, not only in the Congress but nationally, in seeing that all Americans have access to mental health services. Mental health parity is one of the most important civil rights issues facing the Nation. For too long, persons living with mental disorders have suffered discriminatory treatment from insurers. They have been forced to pay more for the services they need, have faced harsher limitations on treatment, and have been denied access to the best service providers. The failure to get treatment for a patient can mean years of shattered dreams and unfulfilled potential. Americans with mental illnesses deserve heath and happiness, too, just as those who face physical illnesses. The 1996 Mental Health Parity Act was a good first step in ending this blatantly unfair treatment, but it did not go far enough. It left too many loopholes and too many opportunities for continued discrimination. Needed new legislation, the Mental Health Equitable Treatment Act, will close these loopholes and guarantee equal coverage for both physical and mental illnesses. Our proposed legislation prohibits group health plans from imposing treatment limitations or financial requirements on the coverage of mental health conditions that do not also apply to physical (1) |