Mr. Speaker, I rise in support of H.R. 6983, the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008. I would like to acknowledge the hard work of Chairmen Dingell, Rangel and Miller, as well as…
Mr. Speaker, I rise in support of H.R. 6983, the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008.
I would like to acknowledge the hard work of Chairmen Dingell, Rangel and Miller, as well as subcommittee Chairmen Stark, Pallone and Andrews, without whose unflagging commitment to this bill we would not be so close to sending it to the President's desk.
I would also like to thank Speaker of the House Nancy Pelosi, and our majority leader, Steny Hoyer, and the whole Democratic leadership for their consistent support in making this bill a top priority.
I most would like to thank my good friend, Jim Ramstad. Jim is leaving this year, and there will be no greater testament to his devotion to those with mental illness and substance abuse disorders than to see this bill signed into law by President Bush this year.
Mr. Speaker, I have a letter in support of this bill from former First Lady Rosalynn Carter, who has been such a champion for this issue, and I will insert it into the Record.
Statement for the Record in Support of the Passage of The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 by Mrs. Rosalynn Carter, Former First Lady of the United States, Chairwoman, Carter Center's Mental Health Task Force, Atlanta,
Georgia
I am pleased to have the opportunity to express my strong
support for the passage of a critical health issue facing
millions of Americans: parity for the treatment of mental
illnesses and substance use disorders.
I have been working on mental health issues for more than
35 years. When I began no one understood the brain or how to
treat mental illnesses. Today everything has changed--except
stigma, of course, which holds back progress in the field.
Because of research and our new knowledge of the brain,
mental illnesses now can be diagnosed and treated
effectively, and the overwhelming majority of those affected
can lead normal lives--being contributing citizens in our
communities.
I join many individuals and hundreds of national
organizations calling for an end to the fundamental,
stigmatizing inequity of providing far more limited insurance
coverage for mental health care than for treatment of any
other illnesses. Again, I join
forces with my friend Betty Ford in urging action on this
important issue.
Jimmy and I founded The Carter Center 25 years ago, and I
have a very good mental health program there. Annually we
bring together leaders to take action on major mental health
issues of concern to the nation. We have focused many times
on stigma and discrimination and the importance of insuring
adequate, equitable coverage for people with mental
illnesses.
To me, it is unconscionable in our country and morally
unacceptable to treat 20 percent of our population (1 in
every 5 people in our country will experience a mental
illness this year) as though they were not worthy of care. We
preach human rights and civil rights and yet we let people
suffer because of an illness they didn't ask for and for
which there is sound treatment. Then we pay the price for
this folly in homelessness, lives lost, families torn apart,
loss of productivity, and the costs of treatment in our
prisons and jails.
I have always believed that if insurance covered mental
illnesses, it would be all right to have them. This may be
why the stigma has remained so pervasive--because these
illnesses are treated differently from other health
conditions.
All mental illnesses are potentially devastating. But today
living a life in recovery from a mental illness is not only
possible, but expected. We had an intern at The Carter Center
this spring, for example, who has obsessive compulsive
disorder and depression. While she was in high school, she
once spent two solid weeks in her house, unable to leave or
be with her friends. I am happy to say that she received
treatment, is a college graduate with Phi Beta Kappa honors,
and just got a job in Washington, DC. Without resources and
support, she could still be sick and shut in her home, which
is what happens to so many who do not get the help they need
because of lack of the ability to pay for services. We as a
country lose all the many contributions of these wonderful
people.
I have the pleasure of being friends with Tom Johnson, the
former publisher of the Los Angeles Times and former CEO of
CNN and a person who has struggled with depression. He has
been interested in the mental health benefits offered by
employers in Atlanta. He and two other prominent CEOs in the
Atlanta community--all of whom have suffered from severe
depression and are now great leaders--have had an enormous
impact on businesses in the area.
Through the research of people like Howard Goldman and
Richard Frank, we know that parity in insurance benefits for
behavioral health care has no significant increase in total
costs when coupled with management of care. We also know that
a number of enlightened companies such as AT&T, Delta Air
Lines, Eastman Kodak, General Motors, and IBM have provided
comprehensive coverage for their employees. (Report to the
Office of Personnel Management, by Washington Business Group
on Health)
Since the mental health commission we held during Jimmy's
presidency, there have been several major reports released
including the first Surgeon General's Report on Mental
Health, President Bush's New Freedom Commission on Mental
Health, and the Institute of Medicine included mental and
substance use conditions in its series of reports on the
quality of American health care. All of the reports reinforce
the statement that effective treatments are available, but
most people who need them do not get them.
The whole nation has learned a lot about the importance of
mental health issues through the events of Hurricane Katrina
and the needs of our returning soldiers and National Guard
troops. We support our troops in the field, and it is
critical that we continue to support them when they come
home.
Finally, I would like to comment on the number of states
that have moved ahead with parity. These have been long-
fought battles with some states managing wonderful successes.
It is so important that stronger state parity laws continue
to improve the lives of people with mental illness and
addiction. It is also critically important that plans not
override the intent of this legislation by discriminating
against those with certain diagnoses of mental illness and
addiction in their coverage. I am glad to see that this
legislation includes efforts to keep a close watch on this
issue. The intent of this law is fairness, not
discrimination.
After waiting for 15 years, we finally have mental health
and addiction parity legislation in sight. If this
legislation is passed, many of our citizens will be
healthier, and our nation will be stronger, more resilient,
and more productive.
On behalf of the millions of people affected by mental
illnesses, I applaud your efforts to pass the mental health
and addiction parity legislation. I know the work has been
hard, but the benefits to our nation will be enormous.
We are bringing to the floor today a bill that is fully paid for, bipartisan, bicameral and a compromise, a mental health parity bill that has long been coming to this floor. It is the result of extensive negotiations between the House, the Senate, and is supported by the chairmen of the relevant House committees and subcommittees, as well as Senators Kennedy, Enzi and Domenici.
We cannot afford one more day without parity, because each day five United States soldiers take their lives because of suicide. We cannot afford one more day without parity because each year $1.3 billion is lost because of those workdays due to mental disorders, more than arthritis, stroke, heart attack and cancer combined.
The World Health Organization in this chart shows you. It's hard for anyone to really understand until you see it in this chart.
If you look at the comparison in illnesses by lost days, burden of illness, mental illness is amongst the worst; sure, cancer; sure, arthritis; sure, heart disease, but these are illnesses that capture people usually at the end of life. Mental illnesses, addictive disorders, really paralyze people from their beginning of life throughout their life. That's why it's such a burden of illness in our society.
It catches us in the Justice Department. Drug-related crime in our country costs us $107 billion a year. We cannot afford not to have parity because 80 percent of our trauma admissions in our emergency rooms are alcohol and drug related. We cannot afford not to have parity, because by denying an individual's treatment to their diseases, we are denying them the opportunity to live out their full potential and live a full and fulfilling life.
Treatment works, as my good friend from Minnesota has said. It has worked for those who have had the opportunity to seek it.
If you are a Member of Congress, you have treatment opportunities. Like my friend from Minnesota said, he has had it; I have had it. Recovery is possible.
We need to end the stigma against those with mental illness, but it isn't going to happen until we first outlaw, outlaw, the embedded discrimination in our laws. That is what we are about to do today by passing this legislation. We simply cannot afford to wait one more day.
In fact, just today the Administration released a Statement of Administration Policy concerning an identical policy provision in the Senate tax extenders bill which reads, ``the Administration supports passage of mental health parity legislation included in the Senate amendments to H.R. 6049 that eliminates disparities between mental health benefits and medical and surgical benefits without significantly increasing health coverage costs.'' The mental health parity legislation that statement refers to is identical to the bill we are considering on the floor today.
In March, we passed H.R. 1424, the Paul Wellstone Mental Health and Addiction Equity Act. At that time, some of my colleagues on the other side of the aisle expressed a preference for the Senate mental health parity bill. I would urge those members to join with us now to pass this compromise bill.
Mr. Speaker, it is past time that we enact mental health parity into law.
Enacting mental health parity will affect nearly every individual in this country who has watched a friend or family member struggle with mental illness or addiction, or who has battled the disease themselves.
The bill we are passing today is one more step in the long struggle to ensure that all Americans have a chance to realize their dreams.
I ask all of my colleagues to join me in putting an end to the discrimination against mental illness. I urge a yes vote for H.R. 6983.