The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) prohibits group health or self-insured plans covering more than 50 employees from imposing caps or limitations on mental health treatment or substance use benefits that are not also applied to medical and surgical benefits.

Many employers will have to increase the mental health and substance abuse (MH/SA) coverage in their existing benefit plans to comply with the new parity requirements. Employer groups, particularly those that are self-insured, are concerned about the resulting increase in their health care spend.

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