Last month, a bipartisan group of senators introduced a bill designed to improve mental health care in the United States in light of the recent mass shootings at Sandy Hook Elementary School and elsewhere. The Mental Health First Aid Act of 2013, which was praised by mental health advocates, was co-sponsored by Sens. Roy Blunt (R-Mo.), Kelly Ayotte (R-N.H.), Marco Rubio (R-Fla.) and six Democrats.

“As a nation, we must learn how to best care for the mentally ill in the hope that we may help to prevent tragedies like Sandy Hook,” Blunt said in a press release introducing the bill. “I am committed to working with my colleagues to ensure that we do everything we can to prevent senseless acts of violence and protect our children in our schools, and setting up these mental health first aid training programs across the country is a good step in the right direction.”

But Blunt, Ayotte and Rubio haven’t always been the strongest champions of mental health care. In fact, they have voted or spoken out against key pieces of legislation designed to help those with mental illnesses, along with over a dozen of their Republican colleagues.

In 2008, Congress passed the Mental Health Parity and Addiction Equity Act. The bill, passed under the Troubled Asset Relief Program and signed by President George W. Bush, requires health insurance companies to cover mental health services at parity to physical health services.

In the years since its passage, the law has reduced certain copays and deductibles, but it has had a limited impact because the White House has not yet issued a final ruling on what exactly parity means. The Obama administration is expected to announce a final decision in the coming months. Once final regulations are issued, the law is expected to increase accessibility to mental health care by providing more services at a lower cost to people who need them.

Mental health care advocates have praised the law as a landmark victory for those suffering from mental illness. “It was really fortuitous thing that the parity law was passed,” said Ron Honberg, the national director for Policy and Legal Affairs at the National Alliance on Mental Illness.

Blunt -- who also announced last week that he is co-sponsoring another bill to improve the mental health care system, the Excellence in Mental Health Act -- voted against the parity law in 2008, when he was a member of the House of Representatives.

At a press conference announcing the Excellence in Mental Health Act, which would increase federal funding for community mental health centers, Blunt said, "I’m a supporter of parity (for mental health care) in insurance coverage, but it doesn’t help if you don’t have insurance. You need somewhere to go."

He did not respond to HuffPost's repeated requests for comment about his 2008 vote.

Blunt was not the only Republican member of the House who voted against the parity law and is now touting improvements to mental health care as a solution to gun violence.

Rep. Jeff Miller (R-Fla.) criticized President Barack Obama's suggested gun reforms, saying the focus should be on mental illness instead.

“Calls to reinstate the assault weapons ban and limiting the capacity of magazine does nothing to reduce the problem of gun-related crimes in this country,” Miller said last month. “I would have liked the president to focus more on the issue of mental health and enforcing the gun laws that are already on the books.

ThinkProgress notes that more than a half-dozen other members of the House who voted against the parity law are now calling for mental health care reforms.

Rep. Mac Thornberry (R-Texas) expressed opposition to proposed gun control laws and said “a more responsible approach is to take significant steps to address mental illness,” while Rep. Tom Price (R-Ga.) said that “we should make a robust analysis of America’s mental health system a priority” instead of gun safety.

The Affordable Care Act, Obama's signature health care law, is another piece of legislation that would benefit those with mental illness and has been met with fierce opposition. Many lawmakers who voted against the law in 2009 or are now calling for its repeal have, in recent weeks, spoken out in favor of improved mental health services.

In response to Obama’s new gun control push, Sen. Jim Inhofe (R-Okla.) said resources would be better spent tackling mental health. Sen. Chuck Grassley (R-Iowa) said during a recent Senate hearing on gun control that "any serious discussion of the causes of gun violence must include a complete reexamination of mental health as it relates to mass shootings." And Rep. Lamar Smith (R-Texas) said, "rather than curbing constitutional rights, the President should focus on the underlying causes of these acts, including addressing mental illness and violence in the media."

Ayotte, who is leading the bipartisan effort to improve mental health care, was elected to the Senate after health care reform was passed. However, she has since spoken out against the law and even called for its repeal.

Rubio was also elected after the Affordable Care Act’s passage, but remains a staunch opponent. As a recently as Feb. 1, he called it “one of the most economically destructive laws in American history” and vowed to fight to repeal it.

Advocates say the health care law is immensely beneficial to those with mental illness. Honberg explained that one of the biggest challenges facing such patients is accessibility to care. Since many people with severe mental health issues can’t work or are otherwise uninsured, the Medicaid expansion included in the Affordable Care Act -- coupled with the parity law -- really helps them.

“People with mental illness stand to be the largest beneficiaries of all,” Honberg said.

Of course, politicians oppose the Affordable Care Act for a host of reasons that are unrelated to mental health care. Grassley called the individual mandate "unconstitutional" and Inhofe has spoken out against financial burdens associated with the law.

Republicans are also not the only ones who now tout mental health care reform despite having voted against laws designed to benefit the mentally ill. Rep. Jim Matheson (D-Utah) voted against the Affordable Care Act, but said last month that mental health care issues should be addressed before creating new gun control laws. Sens. Maria Cantwell (D-Wash.), Tim Johnson (D-S.D.) and Jon Tester (D-Mont.), meanwhile, have all stressed the importance of focusing on mental health but voted against the parity law as part of TARP in 2008. Those three senators did co-sponsor the original 2007 Senate legislation on mental health parity.

The contradiction extends beyond national politics. Wisconsin Gov. Scott Walker (R) this week proposed nearly $29 million in state funding on mental health initiatives to combat gun violence.

"Just gun control alone may or may not address [violence]. If you've got someone with a severe mental illness that's causing them to take irrational actions like this, banning a certain type of firearms may just move them to some other weapon, some other explosive," he told CBS58 in December. "It really begs the question: what are we doing to address mental illness?"

But Wisconsin, under Walker, has slashed funding for mental health services in recent years. Between 2009 and 2011, Wisconsin cut $107.1 million in mental health funding. Walker did not respond to HuffPost's request for comment.

Like most of the lawmakers mentioned, Walker has received a high rating from the National Rifle Association.

The organization's executive vice president, Wayne LaPierre, has repeatedly blamed gun violence on the nation's failing mental system.

"I think we can also agree that our mental health system is broken," LaPierre said at the Senate gun violence hearing. "We need to look at the full range of mental health issues from early detection to treatment to civil commitment laws to privacy laws that needlessly prevent mental health records from being included in the national instant check system."

But advocates say the NRA has erroneously linked mental health issues and gun violence, arguing that comments like LaPierre's unfairly stigmatize the mentally ill.

“Wayne LaPierre will do or say anything to deflect attention from all the barriers that the NRA has erected to any sort of scrutiny of gun laws themselves,” said Honberg of the National Alliance on Mental Illness.

A spokesman for the NRA rejected that notion.

"It would be wrong and inaccurate to say that the NRA is drawing the link between mental illness and violence in our society. That link unfortunately is being perpetuated in the media as a result of numerous horrific incidents that involve people with some mental health problems," spokesman Andrew Arulanandam said. "For anyone to say that this is an effort to stigmatize people is inaccurate."

Debbie Plotnick, the senior director of state policy for Mental Health America, said that while having a conversation about mental illness is long overdue, she worries that having it in the context of gun violence and mass shootings might be harmful.

“Mental health care is getting a lot of attention, but it's getting the wrong kind of attention,” she said. Pro-gun groups “do seem to be building upon this misbelief” that people who are mentally ill are dangerous.

Statistically speaking, Plotnick said, most people with mental health issues are no more dangerous than anyone else.

“People who have mental illnesses are very, very likely to be victims of crime and we know that in terms of violent crime, only about 4 percent of violent crime is committed by people with mental illness,” Plotnick said.

As The New York Times points out, of the 120,000 murders involving firearms committed between 2001 and 2010, few were perpetrated by someone with mental illness. People like Jared Loughner, the man who shot then-Rep. Gabrielle Giffords (D-Ariz.) and killed six others in 2011 and was later diagnosed with paranoid schizophrenia, are outliers.

A 2005 study found that people with serious mental illness are 11 times more likely to be victims of violent crime than the general population. Furthermore, the National Institute of Mental Health found in 2011 that people with mental health issues more often hurt themselves than anyone else.

Plotnick said that linking gun violence to the mentally ill may keep people from speaking out about their health issues.

“We need to understand that the issue of gun violence is about violence and guns,” she said.

CLARIFICATION: This report was updated to clarify that Sens. Maria Cantwell (D-Wash.), Tim Johnson (D-S.D.) and Jon Tester (D-Mont.) voted against the parity legislation in 2008 because it was part of TARP (which they opposed), but initially supported the measure.

Related on HuffPost:

Loading Slideshow...
  • Funds For First Responders

    The Obama administration will call on Congress to provide additional funding to train public and private personnel at schools to respond to active shooter situations.

  • Invest In School Safety Strategies

    The Obama administration, through executive action, encourages school districts to use Comprehensive School Safety Grants to purchase school safety equipment, develop and update public safety plans, conduct threat assessments and train "crisis intervention teams" of law enforcement officers to work with the mental health community while responding and assisting students in crisis.

  • Money For Safer & Nurturing School Climates

    The Obama administration cites that with technical assistance from the Department of Education, 18,000 schools have already put evidence-based strategies to improve school climate into action. Through executive action, the administration proposes a new $50 million initiative to help 8,000 more schools train teachers and staff to implement these strategies.

  • Resources For Youth Who Witness Violence

    To help schools break the cycle of violence, the administration will urge Congress to provide $25 million to offer students mental health services for trauma or anxiety, conflict resolution programs and other school-based violence prevention initiatives.

  • Incentives For Schools To Hire Resource Officers

    Under Obama's executive action, the Department of Justice will provide an incentive for police departments that hire officers through COPS Hiring Grants by providing a preference for grant applications that support school resource officers.

  • Close Background Check Loopholes

    The Department of Justice will invest $20 million in FY2013 to give states stronger incentives to share information with the background check system. President Obama signed executive action requiring federal agencies to make crucial records available to the background check system and also to ensure that such records are frequently updated.

  • Boost Gun Owner Accountability & Responsibility

    President Obama signed an executive action reaffirming his respect for the Second Amendment, but acknowledging that the right to bear arms comes with a responsibility to safely store guns to prevent them from being accidentally or intentionally used to harm others.

  • Serious Punishment For Gun Trafficking

    Today, guns can be purchased easily from unlicensed dealers or from "straw purchasers" who pass the required background check, but give the guns to criminals. The Obama administration will include an explicit law against straw purchasing and others who traffic guns, including prosecutions for paperwork violations.

  • 15,000 Cops On The Street

    The Obama administration recognizes that it is crucial to keep more officers within communities and neighborhoods in order to prevent gun violence. The president calls on Congress to put forth a $4 billion proposal to help keep 15,000 police officers on the streets across the country.

  • Assault Weapons Ban

    The federal assault weapons ban that was in place from 1994 to 2004 was a first step, but President Obama acknowledged that manufacturers were able to circumvent the prohibition with cosmetic modifications to their weapons. Obama is pressing Congress to introduce legislation reinstating and expanding the ban to include all assault weapons.

  • High-Capacity Magazine Ban

    President Obama will urge Congress to reinstate the prohibition on ammunition magazines holding more than 10 rounds. Shooters at Virginia Tech, Tucson, Ariz., Aurora, Colo., Oak Creek, Wis. and Newtown, Conn. all used magazines that had a capacity of more than 10 rounds, which come standard with many handguns and rifles.

  • Remove ATF Restrictions

    The Bureau of Alcohol, Tobacco, Firearms, and Explosives (ATF) is required to authorize the importation of dangerous antique weapons that are at least 50 years old. Obama will press Congress to remove restrictions and enable the ATF to ensure that incoming weapons are actually acquired as collectibles and not for putting the weapons in the wrong hands.

  • Broader Access To Reports On Lost & Stolen Guns

    Under Obama's executive action, the Department of Justice plans to publish an annual report on lost and stolen guns to ensure data collected by the ATF is available.

  • Protect Doctors Who Talk About Guns

    Some have erroneously claimed that language in the Affordable Care Act prohibits doctors from asking patients about guns and gun safety. According to Obama's executive action, the administration will issue guidance clarifying this misconception and reiterating the importance of protecting doctors who have discussions on safe storage of firearms, especially if their patients show signs of certain mental illnesses, have young children or have a mentally ill family member at home.

  • Promote Responsible Gun Ownership

    As declared by Obama's executive action, the administration will encourage gun owners to take responsibility for keeping their guns safe through a national campaign promoting common-sense gun safety measures.

  • Enhance Gun Tracing Data

    Law enforcement can trace a gun's path from it's manufacturer, the dealer who sold it and its first purchaser. However, not all federal law enforcement agencies require a trace on guns they recover and keep in custody. President Obama signed executive action requiring a trace on <em>all</em> firearms.

  • Promote Safe Gun Safety Technology

    The president is directing the attorney general through executive action to work with technology experts to review emerging gun safety technology that helps guard against unauthorized access and use.

  • $150 Million For In-School Resources

    The Obama administration is urging Congress to take up a Comprehensive School Safety program that will offer $150 million to school districts and law enforcement agencies to hire resource officers, school psychologists, social workers and counselors. The Department of Justice will also develop a model for schools that use resource officers, including age-appropriate methods for working with students.

  • Change School Discipline Practices

    Students who are suspended or expelled are far more likely to repeat a grade, not graduate or become involved in the juvenile justice system. The Obama administration believes effective school discipline policies are critical to addressing school and community crime and violence issues. Under Obama's executive action, the Department of Education will collect and execute best practices on school discipline policies and help schools implement these policies.

  • Mental Health Treatment For Youth

    Through partnerships such as the newly proposed Project AWARE (Advancing Wellness and Resilience in Education), President Obama is urging Congress to take up a comprehensive plan to reach 750,000 young people through programs for early detection of mental illness and swift treatment. Project AWARE includes $15 million for training teachers and other adults who interact with youth to detect and respond to mental illness.

  • Clarify Mental Health Coverage In Private Insurance Plans

    By executive action, Obama announced a plan to finalize regulations that would require group health plans offering mental health care to cover such services at parity under the Mental Health Parity and Addiction Equity Act of 2008. Additionally, the Affordable Care Act requires all new small group and individual plans to cover mental health and substance abuse services.

  • Mental Health Coverage For Medicaid Recipients

    There is some evidence that Medicaid plans do not always meeting mental health parity requirements. In an executive action, the Obama administration issued a letter to state health officials insisting that these plans must comply with mental health parity requirements.