More than a decade in the making, implementation of the Wellstone-Domenici parity law provided comprehensive behavioral health and treatment options, but with benefits that flowed to just one-third of all Americans. Streams of effort outlined in the ARRA HITECH Act are rapidly gaining force and speed: 1 EHRs are readily available and regulations defining meaningful use will be completed soon. 2 Legislation awaiting introduction on Capitol Hill would, upon passage, specifically fix the HITECH Act to open EHR meaningful use incentives beyond individual providers to psychiatrichospitals, CMHCs, and addiction treatment centers for the first time. 3 Interoperability between behavioral health EHRs has now been demonstrated, while definition of a Continuity of Care Document (CCD) optimized for behavioral healthcare is advancing rapidly. 4 Legal and IT experts in the government and private sectors are homing in on confidentiality law changes that will provide robust protection of consumer information, support interchangeable EHRs, and accelerate development of regional or national health information exchanges.