Changes in State Laws Related to Coverage for Substance Use Disorder Treatment Across Insurance Sectors, 2006-2020.

التفاصيل البيبلوغرافية
العنوان:	Changes in State Laws Related to Coverage for Substance Use Disorder Treatment Across Insurance Sectors, 2006-2020.
المؤلفون:	Douglas MD; National Center for Primary Care (Douglas, Tyus, Gaglioti) and Department of Community Health and Preventive Medicine (Douglas), Morehouse School of Medicine, Atlanta; Georgia Health Policy Center, Georgia State University, Atlanta (Corallo); Department of Family and Preventive Medicine, School of Medicine, Emory University, Atlanta (Moore); Voices for Georgia's Children, Atlanta (DeWolf); Center for Community Health Integration, Case Western Reserve University, Cleveland (Gaglioti)., Corallo KL; National Center for Primary Care (Douglas, Tyus, Gaglioti) and Department of Community Health and Preventive Medicine (Douglas), Morehouse School of Medicine, Atlanta; Georgia Health Policy Center, Georgia State University, Atlanta (Corallo); Department of Family and Preventive Medicine, School of Medicine, Emory University, Atlanta (Moore); Voices for Georgia's Children, Atlanta (DeWolf); Center for Community Health Integration, Case Western Reserve University, Cleveland (Gaglioti)., Moore MA; National Center for Primary Care (Douglas, Tyus, Gaglioti) and Department of Community Health and Preventive Medicine (Douglas), Morehouse School of Medicine, Atlanta; Georgia Health Policy Center, Georgia State University, Atlanta (Corallo); Department of Family and Preventive Medicine, School of Medicine, Emory University, Atlanta (Moore); Voices for Georgia's Children, Atlanta (DeWolf); Center for Community Health Integration, Case Western Reserve University, Cleveland (Gaglioti)., DeWolf MH; National Center for Primary Care (Douglas, Tyus, Gaglioti) and Department of Community Health and Preventive Medicine (Douglas), Morehouse School of Medicine, Atlanta; Georgia Health Policy Center, Georgia State University, Atlanta (Corallo); Department of Family and Preventive Medicine, School of Medicine, Emory University, Atlanta (Moore); Voices for Georgia's Children, Atlanta (DeWolf); Center for Community Health Integration, Case Western Reserve University, Cleveland (Gaglioti)., Tyus D; National Center for Primary Care (Douglas, Tyus, Gaglioti) and Department of Community Health and Preventive Medicine (Douglas), Morehouse School of Medicine, Atlanta; Georgia Health Policy Center, Georgia State University, Atlanta (Corallo); Department of Family and Preventive Medicine, School of Medicine, Emory University, Atlanta (Moore); Voices for Georgia's Children, Atlanta (DeWolf); Center for Community Health Integration, Case Western Reserve University, Cleveland (Gaglioti)., Gaglioti AH; National Center for Primary Care (Douglas, Tyus, Gaglioti) and Department of Community Health and Preventive Medicine (Douglas), Morehouse School of Medicine, Atlanta; Georgia Health Policy Center, Georgia State University, Atlanta (Corallo); Department of Family and Preventive Medicine, School of Medicine, Emory University, Atlanta (Moore); Voices for Georgia's Children, Atlanta (DeWolf); Center for Community Health Integration, Case Western Reserve University, Cleveland (Gaglioti).
المصدر:	Psychiatric services (Washington, D.C.) [Psychiatr Serv] 2024 Jun 01; Vol. 75 (6), pp. 543-548. Date of Electronic Publication: 2023 Dec 05.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: American Psychiatric Association Country of Publication: United States NLM ID: 9502838 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-9700 (Electronic) Linking ISSN: 10752730 NLM ISO Abbreviation: Psychiatr Serv Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Washington, DC : American Psychiatric Association, c1995-
مواضيع طبية MeSH:	Substance-Related Disorders/economics , Substance-Related Disorders/therapy , Insurance Coverage/legislation & jurisprudence , Insurance Coverage/statistics & numerical data , Insurance Coverage*/trends, Humans ; United States
مستخلص:	Objective: The authors assessed changes in state insurance laws related to coverage for substance use disorder treatment across public and private insurance sectors from 2006 through 2020 in all 50 U.S. states. Methods: Structured policy surveillance methods, including a coding protocol with duplicate coding and quality controls, were used to track changes in state laws during the 2006-2020 period. The legal database Westlaw was used to identify relevant statutes within each state's commercial insurance (large group, small group, and individual), state employee health benefits, and Medicaid codes. The legal coding instrument included six questions across four themes: parity, mandated coverage, definition of substance use disorders, and enforcement and compliance. Scores were calculated to reflect the comprehensiveness of states' laws and to interpret changes in scores over time. Results: Comprehensiveness scores across all sectors (on a 0-9 scale) increased, on average, from 1.47 in 2006 to 2.84 in 2020. In 2006, mean scores ranged from 0.47 (state employee sector) to 2.80 (large-group sector) and in 2020, from 1.22 (state employee) to 4.26 (large group). Conclusions: Comprehensiveness of state insurance laws in relation to substance use disorder treatment improved across all insurance sectors in 2006-2020. The State Substance Use Disorder Insurance Laws Database created in this study will aid future legal epidemiology studies in assessing the cumulative effects of parity-related insurance laws on outcomes of substance use disorder treatments. Competing Interests: The authors report no financial relationships with commercial interests.
فهرسة مساهمة:	Keywords: Alcohol and drug abuse; Health care reform; Law and psychiatry; Medicaid; Parity; Substance use disorder
تواريخ الأحداث:	Date Created: 20231205 Date Completed: 20240601 Latest Revision: 20240604
رمز التحديث:	20240605
DOI:	10.1176/appi.ps.20220550
PMID:	38050443
قاعدة البيانات:	MEDLINE

الوصف
تدمد:	1557-9700
DOI:	10.1176/appi.ps.20220550