Health Care Reform: Provisions Related to Mental Illness & Substance Use Disorders
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Transcript of Health Care Reform: Provisions Related to Mental Illness & Substance Use Disorders
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www.TheNationalCouncil.org
Health Care Reform: Provisions Related to Mental Illness &
Substance Use Disorders
Charles IngogliaVice President, Public Policy
National Council for Community Behavioral Healthcare
July 17, 2009
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www.TheNationalCouncil.org
Coverage Expansion Core to All Plans
Medicaid expansion based on Federal Poverty Level
Creation of Exchange/Gateway to facilitate access to public or private health insurance
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www.TheNationalCouncil.org
Impact of Medicaid Expansion
“The uninsured population is primarily low-income and many have significant health care needs”
".....one in five (20%) reports a mental health problem, such as depression, bipolar disorder, autism, dementia, schizophrenia or psychosis.”
Source: Medicaid as a Platform for Broader Health Reform: Supporting High-Need and Low-Income Populations, Kaiser Commission on Medicaid and the Uninsured, May 2009
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www.TheNationalCouncil.org
Impact of Medicaid Expansion
Further Analysis Reveals:
Fully 2.8 million have conditions severe enough that they require the intensive services provided by specialty multi-service mental health organizations like community mental health centers.
This would increase the number of persons served in America's public mental health system by 50%.
Source: Unmet Mental Healthcare Needs of Indigent, Uninsured Americans.National Council for Community Behavioral Healthcare, July 2009
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www.TheNationalCouncil.org
House Tri-Committee Bill
America’s Affordable Health Choices Act
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www.TheNationalCouncil.org
General Provisions
Prohibits pre-existing condition exclusions
Guaranteed issue and renewal for insured plans
Ensuring adequacy of provider networks
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www.TheNationalCouncil.org
Mental Health Provisions
Nondiscrimination in benefits; parity in mental health and substance abuse disorder benefits
Essential benefits package includes “Rehabilitative and habilitative services” as well as “Mental health and substance use disorder services”
Includes Outreach activities to educate individuals about Exchange program to include those with mental illness
Auto-enrollment - Individuals who are eligible for the Exchange are automatically enrolled in appropriate Exchange-participating health benefits plan.
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www.TheNationalCouncil.org
Mental Health Provisions
Discount pharmaceutical pricing (340B) expanded to mental health and addiction treatment organizations
Licensed Professional Counselors and Marriage and Family Therapists covered in Medicare, Rural Health Clinics, and Federally Qualified Health Centers
Eliminates 190 lifetime limit on psychiatric hospital stays within Medicare
Promotes the coordination of health services (inc. MH) through medical homes and Accountable Care Organizations
Awards grants to mental health professional training programs
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www.TheNationalCouncil.org
Senate HELP Committee Bill
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www.TheNationalCouncil.org
Mental Health Provisions
Essential health care benefits include “Mental health and substance abuse services” and “Rehabilitative and habilitative services”
More limited Parity application than House bill – applies to parity requirements to individual plans but does not broaden definition of group plans
Establishes a National Prevention, Health Promotion, and Public Health Council Tasked with multiple objectives, inc. promoting integrated health care
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www.TheNationalCouncil.org
Mental Health Provisions
Investments in various public health programs Inc. depression screening and tobacco cessation
Establishes a loan repayment program for mental health professionals who serve children
Awards grants to schools to recruit and train students to enter the behavioral health workforce
Creates new grant program for co-location of primary care services within mental health organizations
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www.TheNationalCouncil.org
Senate Finance Committee
Policy Papers suggest that Mental Health and Substance Use Disorder Parity required in connector
Give States option under Medicaid to develop medical homes and improve care coordination and transitional care for chronically ill enrollees. – Include Mental Health or Substance Use Disorders?
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www.TheNationalCouncil.org
Need for Medical Homes
Research indicates that people with serious mental illness - which include schizophrenia, bipolar disorder, and major clinical depression – die, on average, 25 years earlier than the general population. Sixty percent of premature deaths in persons with schizophrenia are due to medical conditions such as cardiovascular, pulmonary and infectious disease.
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www.TheNationalCouncil.org
National Council for Community Behavioral Healthcare
www.thenationalcouncil.org