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The Mental Health Parity and a Addiction Equity Act increased access to this kind of treatment. The first interim rules under the Act went into effect for new plan years starting on or after July 2010. Many insurance plans (particularly Medicare and Medicaid plans in certain states) dragged their feet in implementing the required changes. This was problematic because, despite being a federal law, state insurance regulators are the primary enforcers.

In 2016 the Centers for Medicare and Medicaid finally started to crack down with their investigations and enforcement and issued compliance guidance and toolkits to help states fully implement the required coverage.

Is it possible the upticks don’t represent a new group of addicts so much as they represent a new group of people who are eligible for affordable treatment? It doesn’t seem terribly far-fetched to me that CA would have implemented the required coverage in their Medicare & Medicaid plans fairly quickly while West Virginia’s plans would have waited as long as possible to comply.



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