Abstract
To provide evidence on the effects of expansions to private and public insurance programs on adolescent specialty substance use disorder (SUD) treatment use. The Treatment Episodes Data Set (TEDS), 1996 to 2017. A quasi-experimental difference-in-differences design using observational data. The TEDS provides administrative data on admissions to specialty SUD treatment. Expansions of laws that compel private insurers to cover SUD treatment services at parity with general health care increase adolescent admissions by 26% (P<.05). These increases are driven by nonintensive outpatient admissions, the most common treatment episodes, which rise by 30% (P<.05) postparity law. In contrast, increases in income eligibility for public insurance targeting those 6-18years old are not statistically associated with SUD treatment. Private insurance expansions allow more adolescents to receive SUD treatment, while public insurance income eligibility expansions do not appear to influence adolescent SUD treatment.
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