Gaps in insurance coverage, specifically a lack of parity between coverage for medical and surgical benefits versus mental health and substance abuse benefits, put millions of people in the United States at risk of going without care. Over half of those with adult mental illness received no treatment; 28.2 percent of all adults with a mental illness reported that they were not able to receive the treatment they needed (Reinert et al., 2022). Most indicated that they did not receive care because of cost: 42 percent reported that they could not afford it, and 17 percent said health insurance did not pay enough for mental healthcare (Reinert et al., 2022).