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Does Mental Health Parity Encourage Mental Health Utilization Among Children and Adolescents? Evidence from the 2008 Mental Health Parity and Addiction Equity Act (MHPAEA)

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Abstract

This study examines the effects of mental health parity laws on mental health care utilization and mental health outcomes of children and adolescents from middle-income households in the context of the 2008 Mental Health Parity and Addiction Equity Act (MHPAEA), using data from the 2007 and 2011–2012 waves of the National Survey of Children’s Health (N = 57,549). A difference-in-differences method controlling for demographic characteristics, state Medicaid eligibility, and unemployment is used. The analyses show that after the enactment of the MHPAEA, children and adolescents with family income between 150 and 400% of the federal poverty level in states without prior parity laws experience a 2.80 percentage point relative increase (p < 0.01) in mental health care utilization. These children and adolescents also experience an increase in the diagnoses of anxiety, which may suggest that better access to healthcare increases screening for previously under-diagnosed disorders.

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Funding

This study is supported by the China Postdoctoral Science Foundation, Grant No. 2017M623134

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Authors and Affiliations

  1. Department of Economics, University of New Mexico, 1915 Roma Ave. NE 1019, Albuquerque, NM, 87131, USA

    Xiaoxue Li PhD

  2. Jinhe Center for Economics Research, Xi’an Jiaotong University, 28 West Xianning Street, Xi’an, 710000, Shaanxi, China

    Jie Ma PhD

Authors
  1. Xiaoxue Li PhD
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  2. Jie Ma PhD
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Correspondence to Jie Ma PhD.

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Li, X., Ma, J. Does Mental Health Parity Encourage Mental Health Utilization Among Children and Adolescents? Evidence from the 2008 Mental Health Parity and Addiction Equity Act (MHPAEA). J Behav Health Serv Res 47, 38–53 (2020). https://doi.org/10.1007/s11414-019-09660-w

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