EMPLOYEE ASSISTANCE REPORT
Volume 12, No. 5 May 2009
supporting
EAP
professionals
The New Parity Law — What it Means for EAPs Therefore, as Dr. Ron Mandersheid, Director of Mental Health & Substance Abuse Programs for SRA International, peculation about the impact of notes, the impact of parity on an the Paul Wellstone and Pete EAP will have much to do with Domenici Mental Health whether the Parity and Addiction EAP is viewed Equity Act on EAPs as being a part “We are ushering in a new has ranged from one of the compaextreme to another. era of healthcare...If you ny’s health plan. Some have expressed have insurance then your This is a particconcern that if mental health care must be ularly important employers have to equal to the benefits you get consideration increase costs to for any other disease.” for those EA meet parity man— Sen. Pete Domenici (R-N.M.), programs that dates, they may see the EAP as a duplica- co-sponsor of the Paul Wellstone & Pete are structured as Domenici Mental Health Parity and part of an intetion of services and Addiction Equity Act grated EAPdrop their EA promanaged care grams as a way to service provided recoup some of the additional insurto a company by a single managed ance expense. care vendor. Others have predicted the oppoEven for EAPs not fully integratsite reaction, that some employers ed with managed care plans, the parcould avoid parity requirements by ity law may have important dropping mental health and subimplications. If employers see duplistance abuse coverage in their health cation between mental health or subplans entirely and relying on the stance abuse services provided under EAP to meet all mental health and their health plan and services prosubstance abuse needs. vided by the EAP, they could be In any case, it’s clear that the tempted to eliminate the EAP — or year-long process of crafting impleat least curtail some of the services menting regulations for the Parity offered by the EAP. EA programs, Act, currently being undertaken by regardless of their organizational three government departments, is a structure, will need to focus on sercrucial time. The Parity Act applies vices that are complementary to the to health plans.
By John Maynard, Ph.D., CEAP & Marina London, LCSW, CEAP
S
May 2009
Parity Act at a Glance The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act requires that, if a health plan covers mental health and substance abuse services at all, then financial or treatment limitations on those services can be no more restrictive than financial or treatment limitations for medical or surgical benefits offered in the same plan. The requirement for parity includes provisions such as annual and lifetime benefit limits, co-payments, deductibles, limits on the frecontinued on Page 3
F E AT U R E D I N S I D E X Resources X Keep Contributing to Your 401(k) X How Smart Companies Bail Themselves Out X Management Cited as Main Reason Good Workers Quit X Get Everyone on ‘the Same Page’ X Leading in the Age of Anxiety X Let’s Call PowerPoint What it Really is — Corporate Karaoke X Tips for Leading Through Layoffs X Managing Off-site Employees a 21st-century Reality INSERTS X Brown Bagger: Tips to Make Conflict Work, not Hurt X Payroll Stuffers X LifestyleTIPS©
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