Abstract
We assessed whether early implementation of Affordable Care Act (ACA) Medicaid expansion and state health insurance exchanges increased access to mental health and substance use treatment among those in need and whether these changes differed by racial/ethnic group. We found that mental health treatment rates increased significantly but found no evidence of a reduction in the wide racial/ethnic disparities in mental health treatment that preceded ACA expansion from 2005 to 2013.
Keywords:
Disparities; Health Reform; Insurance Coverage < Insurance; Mental Health/Substance Abuse.
Project HOPE—The People-to-People Health Foundation, Inc.
Publication types
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Research Support, U.S. Gov't, P.H.S.
MeSH terms
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Adult
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Health Services Accessibility*
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Healthcare Disparities / ethnology*
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Humans
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Insurance Coverage / economics
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Insurance Coverage / statistics & numerical data
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Insurance, Health / economics
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Insurance, Health / statistics & numerical data
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Medicaid / legislation & jurisprudence
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Mental Disorders / ethnology
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Mental Disorders / therapy
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Mental Health Services / statistics & numerical data*
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Middle Aged
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Patient Protection and Affordable Care Act / legislation & jurisprudence
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Patient Protection and Affordable Care Act / trends
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Substance-Related Disorders / ethnology
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Substance-Related Disorders / therapy*
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Surveys and Questionnaires
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United States