“…While this first law established equitable annual and lifetime limits for mental illness as compared to physical illness, it did not provide equitable coverage in regards to co-payments, deductibles, service charges, out-of-pocket expenditures, and treatment limitations Kjorstad, 2003;Marth, 2009). Moreover, it did not cover substance abuse or chemical dependency, did not apply to Medicare or Medicaid, and required parity only if such coverage was already offered by the insurer (Kjorstad, 2003;Marth, 2009). In its review of the MHPA, the U.S. General Accounting Office (GAO) (2000) found that although 86% of employers complied with MPHA regulations, 87% of compliers included more restrictive mental health benefits compared to physical health benefits.…”