National Alliance on Mental Illness
page printed from
(800) 950-NAMI;

House to Consider Association Health Plan Legislation; Proposal Would Weaken State Mental Illness Insurance Parity Laws

July 20, 2005

Later this week the U.S. House of Representatives will consider legislation to vastly expand multi-employer Association Health Plans (AHPs) and undermine existing state laws that require health plans to cover treatment for mental illness on the same terms and conditions as all other illnesses – commonly referred to as parity. This proposal (HR 525) would significantly expand the scope of a federal law (known as ERISA), that exempts self-insured employer health plans from state regulation. By expanding ERISA, HR 525 would encourage employers that currently offer health plans for their workers (and their families) to switch away from coverage that meets a parity standard, i.e. plans that cover mental illnesses the same as all other illnesses.

The AHPs envisioned by HR 525 would be exempt from all state insurance laws, including: state parity laws, minimum coverage standards for mental illness treatment and other consumer protections. The supporters of AHPs assert that HR 525 would help make employer coverage more affordable and ease the growth among the uninsured. However, several recent studies have found that AHPs are not effective in reaching uninsured workers and their families and are more likely to fail as a result of insolvency.

It is expected that during consideration of HR 525, Representative Rush Holt (D-NJ) will be offering an amendment to require AHPs to comply with relevant state mental illness insurance parity laws. NAMI strongly supports the Holt Amendment as an important and badly needed improvement to HR 525.

Action Requested

NAMI advocates are strongly encouraged to contact their House member to urge them to:

  1. Support the Holt Amendment to HR 525, and
  2. Oppose HR 525 if the Holt Amendment is voted down.

Remind your House member that this well-intentioned legislation would have enormous negative consequences for workers and their families.

In NAMI’s view, HR 525 would:

  • Severely undermine the effectiveness of the 34 state mental illness insurance parity laws.
  • Fail to address the problem of the uninsured – studies demonstrate that most employers that would switch to AHP coverage already provide coverage on their own.
  • Place workers and their families at risk of losing coverage – studies show that AHPs have a long history of plan failures and insolvency (AHPs would not have to meet current solvency and reserve standards enforced by state insurance commissioners).

All House members can be reached by calling the Capitol Switchboard toll free at 202-224-3121 or online through

Click here  to view NAMI's letter in support of the Holt Amendment (PDF).