Table 1.
State Characteristics by Pre-Existing Parity Policy
| STATE PARITY POLICY PRIOR TO MHPAEA | ||||||
|---|---|---|---|---|---|---|
| Weak (n=14) |
PPIO (n=7) |
CNP (n=8) |
CPP (n=9) |
Strong (n=8) |
p-value | |
| Alcohol treatment admission rates (per 10,000 population) 1999–2013 | ||||||
| Total Sample | 47.6 | 50.1 | 46.9 | 66.1 | 75.0 | *** |
| White | 42.7 | 36.6 | 40.7 | 52.8 | 69.6 | *** |
| Black | 99.2 | 128.3 | 102.2 | 136.9 | 174.6 | *** |
| Hispanic | 53.9 | 58.4 | 56.0 | 78.6 | 86.8 | *** |
| Unemployment rate | ||||||
| 1999–2013 | 5.86 | 5.78 | 5.42 | 5.88 | 5.62 | NS |
| 1999–2010 | 5.48 | 5.35 | 5.11 | 5.49 | 5.19 | |
| 2008–2009 | 7.11 | 6.84 | 6.40 | 6.48 | 7.08 | |
| 2011–2013 | 7.40 | 7.49 | 6.67 | 7.41 | 7.35 | |
| % Living in poverty | ||||||
| 1999–2013 | 13.9 | 15.0 | 11.1 | 13.4 | 10.9 | *** |
| 1999–2010 | 13.3 | 14.3 | 10.6 | 13.0 | 10.4 | |
| 2008–2009 | 14.2 | 15.3 | 11.6 | 13.3 | 11.2 | |
| 2011–2013 | 16.4 | 17.4 | 13.0 | 14.8 | 13.1 | |
| % Uninsured | ||||||
| 2005–2013 | 20.3 | 20.8 | 14.2 | 18.0 | 15.5 | *** |
| Alcohol dependence rate | ||||||
| 1999–2013 | 3.21 | 3.10 | 3.22 | 3.33 | 3.19 | * |
| % Hispanic population aged 15+ | ||||||
| 1999–2013 | 10.2 | 11.3 | 6.1 | 11.2 | 7.2 | *** |
| % Black population aged 15+ | ||||||
| 1999–2013 | 11.5 | 11.2 | 7.1 | 14.1 | 8.2 | *** |
| SUD Tx facilities accepting private insurance (per 10,000 state residents) | ||||||
| 1999–2013 | 0.42 | 0.47 | 0.51 | 0.47 | 0.60 | *** |
| 1999–2010 | 0.42 | 0.47 | 0.52 | 0.47 | 0.59 | |
| 2011–2013 | 0.41 | 0.46 | 0.46 | 0.44 | 0.63 | |
| Urbanicity | 73.6 | 70.1 | 75.2 | 80.9 | 72.0 | NS |
| FY 2003 Treatment spending per capita aged 15+ ($) | 13.90 | 11.15 | 14.01 | 21.36 | 41.00 | NS |
Notes. As described in the text, data sources include the SAMHSA Treatment Episode Data Set, NIAAA Alcohol Policy Information System, Census/ACS data, HRSA Area Health Resources Files, National Survey on Drug Use and Health, and the National Survey of Substance Abuse Treatment Services. Policy categories: Weak (Plans are not required to cover alcohol treatment for enrollees; no parity laws exist); Coverage No Parity (CNP; Plans must cover alcohol treatment but there are no parity requirements); Partial Parity if Offered (PPIO; Plans must offer alcohol treatment coverage to enrollees; if covered, some parity rules apply); CPP (Plans must cover alcohol treatment and some parity rules apply); Strong (Alcohol treatment coverage is mandated along with all 4 types of parity).
p<.05;
p<.01;
p<.001;
NS=not significant