Category: mental health policy issues

Mental Health Policy Issues – National Alliance On Mental Illness

mental health policy issues What should you do?

Almost the majority of the research has looked at walking, including the latest study.

Start exercising! Oftentimes it’s likely that other forms of aerobic exercise that get your heart pumping might yield similar benefits, says Dr. McGinnis. As a result, we don’t know exactly which exercise is best. I am sure that the benefits of exercise come directly from its ability to reduce insulin resistance, reduce inflammation, and stimulate the release of growth factors chemicals in the brain that affect the health of brain cells, the growth of new blood vessels in the brain, and even the abundance and survival of new brain cells. Exercise helps memory and thinking through both direct and indirect means. National Association of Psychiatric Health Systems.

Retrieved May 22.

Day Lifetime Limit Background.

National Association of Psychiatric Health Systems.

Washington. Another argument for integrating physical and mental health services is that physical and mental illness are not mutually exclusive. Oftentimes a 2001 metaanalysis found that 11 those percent diagnosed with diabetes met criteria for Major Depressive Disorder. With all that said… Depression is often comorbid with other chronic diseases and can negatively affect adherence to treatment. Now look. Nonadherence to diabetes treatment is closely associated with depression. You should take this seriously. Basically the interactive nature of these two diseases illustrates the need for integrating healthcare for mental and physical illness in case you are going to maximize treatment outcomes, while there’s still a chicken or egg situation whenever it boils down to determining the direction of causality between depression and diabetes. Kaiser Family Foundation. Medicaid’s New ‘Health Home’ Option. RetrievedMay 20. Approximately one older third adults in primary care settings have significant mental health symptoms.

mental health policy issues That said, this represents a missed opportunity and serious public health risk, as a couple of research studies have shown that geriatricdepression can be treated effectively in primary care settings when mental health providers are available for consultation and treatment.

Further, plenty of older adults prefer to receive mental health treatment in a primary care setting because of the perceived stigma associated with traditional psychiatric settings.

Lots of these symptoms go unrecognized and untreated. Another of the ACA’s central objectives is to encourage greater care coordination and integration of physical and mental health services. Service integration is particularly vital for older adults in the primary care setting, as it presents important opportunities for detecting and treating mental health disorders. Actually the ACA provides various new options to improve and integrate care for patients who are dually eligible. Approved states could be experimenting with two payment models alignment for dual eligible individuals. For instance, a tal of thirty seven states and the District of Columbia have submitted letters of intent to participate in alignment initiatives. Basically the financial and regulatory misalignment between the two major payers historically has left patients with a complicated system to navigate and providers with limited incentives to coordinate care.

mental health policy issues So this group represents quite a few sickest and most economically vulnerable individuals in the country.

CMS has approved fifteen state plans to design new approaches for Medicare and Medicaid coordination, with intention to date.

By the way, a third initiative aimed at greater coordination and integration of services targets the 9 million beneficiaries considered dual eligible. On p of this to promote integrating primary care, acute care, long period of time services and supports, and behavioral health, these initiatives not only seek to align the programs financially. HRSAsupported’ health centers been a vital source of medical care for all ages within this population. Essentially, these health centers may serve as important resources for undocumented immigrants, whose access to healthcare was not otherwise improved by the ACA. In 2007, 57 undocumented percent immigrants were uninsured. Going forward, hopefully they also may be an increasingly robust resource for mental health care. Now regarding the aforementioned fact… Not only are undocumented immigrants locked out of public health programs similar to Medicare and Medicaid, they also are unable to purchase insurance from the Health Insurance Exchanges.

mental health policy issues That number isn’t going to change under the ACA.

Amongst the most sweeping changes in the ACA is the expansion of the Mental Health Parity and Addiction Equity Act of While the 2008 law represented a significant step forward in requiring coverage for mental illness to be comparable to that for physical ailments, there were many holes.

Actually the ACA, in contrast, identified mental health and substance use treatment as amid the ten essential health benefits for all hospital insurance plans in the individual and employer market inside and outside HIEs. Such coverage only applied to plans that had already opted to provide some mental health coverage, MHPAE did not mandate mental health coverage. I’m sure it sounds familiar. More inclusive parity laws over the years, these rule changes represent the first time that federal law has mandated mental health and substance use treatment coverage, while many states have developed their own. Anyways, new rules also have expanded coverage for preventive screenings for this population, while Medicare ain’t subject to quite similar requirements. Both kinds of exams types must be provided at no cost to the patient. Medicare beneficiaries now are entitled to an initial Welcome to Medicare wellness exam in the course of the first year of enrollment.

mental health policy issues That’s true even if a patient has not met so become eligible for bonuses if they can demonstrate that care was delivered more efficiently. With that said, this model is in line with the ACA’s whole person philosophy, in which providers take responsibility for a patient’s overall wellbeing both mental and physical. Then again, one such provision is in the creation of Accountable Care Organizations, that incentivize doctors, hospitals, and identical healthcare providers to establish networks that coordinate care for Medicare patients.

It also represents a move to incentivize a higher quality of care and better health outcomes over the quantity of procedures performed or interventions delivered.Put simply, providers get paid more money to keep their patients healthy.

ACOs already have an enormous presence in the healthcare industry.

It’s an interesting fact that the ACA contains various provisions to promote integrating mental health and primary care. We can not miss this important opportunity to bring whole person care to the center of our national healthcare system. ACA and similar recent changes to healthcare policy provide us with a historic opportunity to transform a fragmented and inadequate healthcare delivery system, especially whenit gets to providing mental health and substance abuse services. Clinicians, researchers, and policy makers will need to be vigilant in monitoring the rollout of these reforms to see that they are executed in effective, sustainable, and socially just ways. Expansionof insurance coverage, the establishment of essential benefits, and experimental financial and organizational delivery models have the potential to dramatically improve access to vital mental health services for all Americans, and older adults especially. Such changes have significant implications for older adults, whose mental health needs have been for a while neglected. More work also must be done to secure full funding for the initiatives established by the ACA, lest they remain nothing more than good ideas.

Continued advocacy is needed in order to ensure that the promisesof greater access and more complete integration are realized.

Another barrier to treatment not addressed by healthcare reform is the unwillingness of certain mental health providers namely psychiatrists to accept Medicare payments.A recent study published in JAMA Psychiatry revealed that in 2010 only 54 dot 8 psychiatrists percent accepted Medicare.

Psychiatrists can command more money for identical service and may not need to accept insurance, as demand increases. Anyways, one reason is inadequate reimbursement rates by insurers. That said, this situation is unlikely to change unless Medicare updates the way it reimburses psychiatric services. Basically, another is that the psychiatrist supply isn’t increasing as quickly as demand. Therefore this leaves many older adults without access to vital mental health services, if a bunch of psychiatrists is unwilling to accept Medicare.

Mental health needs of older adults long are neglected in the United States.

The healthcare workforce is largely unprepared, in numbers and expertise, to confront the specific mental health needs of our aging population.

Then the Affordable Care Act, though not a panacea, provides an opportunity to bolster a broken mental health system that disproportionately ignores the needs of older adults. Furthermore, even clinicians lacking training in geriatrics was unable to provide adequate mental health services to our aging population since a long history of disparity ininsurance coverage for physical and mental health treatments. Psychiatric specialization in geriatrics requires an additional one year fellowship. Advanced geriatric training opportunities are similarly limited for psychologists and social workers. In the course of the 20112012″ academic year, there were only fiftyeight geriatric psychiatry fellows in the country. Normally, older adults present with unique psychosocial and biological challenges that generalists often are ‘illequipped’ to address, and for the most part there’re not enough psychologists, social workers, and psychiatrists with advanced geriatric training to meet current demand.

More advocacy is crucial if you want to bring Medicare mental health coverage in line with that of private insurance. Therefore this alone won’t solve the big issue of inadequate access to mental health services for Medicare beneficiaries. In July 2008, Congress passed the Medicare Improvements for Patients and Providers Act, aimed at ending the discriminatory mental health coverage that had previously required patients to pay for up to 50 approved percent services, as opposed to the 20 percent copayment that applied to other kinds of outpatient types services. Although, So there’s 100 percent parity in copayments for outpatient services, that means that while Medicare previously only covered 50 outpatient percent services, they will now cover80 percent, as they do with other kinds of outpatient services, as of January 2014. With that said, this law phased out the coverage disparity over five years. Just keep reading. Only time will tell whether these ‘statebased’ plans will improve patient outcomes. Having one healthcare entity responsiblefor the coordination of a patient’s physical and mental health care may provide significant opportunities to promote holistic, integrated care among amongst the country’s most vulnerable populations. Health Insurance Marketplace.

Retrieved June 2.

ASPE Office of Health Policy.

Summary Enrollment Report for the Initial Annual Open Enrollment Period. Arlington. Eventually, retrieved June 2. National Alliance on Mental Illness. Now regarding the aforementioned fact… Prevent Restrictions on Psychiatric Medications in Medicare. National Alliance on Mental Illness. Alternatively, other financial models may be considered that incorporate economic incentives for integrated care, similar to bundled payments, payforperformance, and gain sharing. A well-known fact that is. Quite a few alternative, evidence based models already exist that are structured to support integrating mental health care into primary care, like Ambulatory Integration of the Medical and Social. Actually, new organizational models for mental health integration must also be explored. That’s right! In spite of the Obama Administration’s stated commitment to improve access to mental health care, advocacy groups have had to remain vigilant to see this vision realized. Actually, opponents argued that such restrictions posed risks to vulnerable elders. CMS ultimately bowed to pressure from industry stakeholders, patient groups, and lawmakers by dropping the proposed rule in March 2014.

In January 2014, the Centers for Medicare Medicaid Services proposed a brand new rule that would have severely restricted Medicare Part D coverage of antidepressant and antipsychotic medications.

The goal of the proposed rule was to save money by eliminating coverage for more expensive drugs and pushing physicians to prescribe lower cost or generic alternatives.

Approximately20 percent would not, and most of us are aware that there is no good wayto identify these patients, while most people living with a mental illness will respond to most medications within a certain class or category. As pointed out by one pharmaceutical industry group, therefore this rule would have reduced available antidepressants and antipsychotics from fiftyseven to about fifteen. ACA specifies that insurance plans must be consistent across treatments for physical and mental illness when considering what really is medically necessary.

Did you know that the new rules clarify, for sake of example, that parity must be applied in general treatment levels, including intermediate settings that do not fall neatly into inpatient and outpatient categories. Mandatory coverage of mental health services, the ACA also fills in other gaps in the earlier parity law. Retrieved May 30. Centers for Disease Control and Prevention and National Association of Chronic Disease Directors. State of Mental Health and Aging in America. You see, so that’s significant, as mentalhealth disorders were a lot of the most common pre existing conditions instigating health support denials prior to the full implementation of the ACA. Expanding avenues for obtaining affordable healthcare coverage, the ACA also prohibits insurance companies from denying coverage to people with preexisting conditions. Seriously. Therefore this change will benefit many people who were previously locked out of the private market, including those who had been excluded becauseof a documented mental health diagnosis. They do not apply directly to public health plans just like Medicaid and Medicare, while these new parity rules under the ACA are more comprehensive than their predecessors for regulating private health certificate. Other rules are being considered to ensure greater parity in these programs. Under this model, states are authorized to reimburse a patientdesignated health home provider who provides care management.

These health homes are designed to be patientcentered systems that aid the coordination of primary and acute physical health services, behavioral healthcare, and long period of time communitybased services and supports.

States opting to participate in the program must offer a lot of mandatory services, including comprehensive care management, care coordination and health promotion, comprehensive transitional care, and referral to community and social support services.far, CMS has approved Health Home State Plans in fifteen states.

I know that the most notable initiative is the Medicaid health home, that targets individuals with multiple chronic conditions and serious mental illness. I know that the ACA also includes provisions to promote care coordination and mental health integration within the Medicaid population. Certainly, behavioral health services were included as optional targets for the new funds.

Exactly how many centers will direct these funds ward mental health remains to be seen.

Behavioral health treatment was on the optional list of services that centers could expand using money from this pool.

Health Resources and Services Administration -supported health centers are operating for ‘forty five’ years to provide primary care services to underserved communities, regardless of patients’ ability to pay. So, in June 2014, an additional $ 300 million dollars was made available to further expand services at existing centers. Money potentially could provide access to mental health treatment in areas where such services are typically scarce. Increasing capacity in these communities is especially crucial in light of the fact that a few more vulnerable people will now have access to insurance. As of 20127 the 21 percent million health center patients were older than age The ACA established the Community Health Center Fund, that provides $ 11 billion to expand services offered in Community Health Centers and construct additional sites. Agency for Healthcare Research and Quality. Retrieved June 2. Whenever Leading to High Patient and Practitioner Satisfaction and Better Patient SelfManagement, cial Workers Support Outpatients in Dealing with Psychosocial Issues. Disparity still exists, while MIPPA represents a step forward for mental health coverage for Medicare beneficiaries. Therefore this arbitrary limit has significant implications for those with chronic or serious mental health conditions that require ongoing treatment and care.

In 2008, 65 discharges percent from inpatient psychiatric facilities were for beneficiaries younger than age 65.

No such cap exists for any other kind of inpatient service.

There remains a 190day lifetime limit on inpatient stays in psychiatric units. It also disproportionately affects younger and poorer Medicare beneficiaries, as plenty of Medicare patients treated in psychiatric facilities qualify because of disability. On p of this, the Department of Health and Human Services estimates that more than 2 the new million HIE enrollees are older than age 55. Early estimates indicated that the overall rate of uninsured residents in the United States should drop by nearly 50 percent following full implementation of the ACA. Did you know that the first is the proliferation of medical insurance coverage through the Health Insurance Exchanges and ‘statespecific’ Medicaid expansions, that will dramatically expand coverage for those not eligible for Medicare. ACA includes quite a few provisions to effect the biggest expansion of mental health and substance abuse services in a generation. White House estimates of 8 million enrollees in HIEs and 3 million in Medicaid expansion programs indicate that the ACA already has had a profound effect on national coverage rates.

Mental health policy difficulties – spent bernie Sanders made a joke about psychological conditions when talking about Republican party.

mental health policy issues

Mental Health Policy Issues: Navigate

mental health policy issues So it’s most commonly used in North America. These guides separate mental disorders into heaps of categories.

Figure out how to best support youth in schools through our Mental Health High School Curriculum Guide.

Is reflective of the most common diagnoses, therefore this list ain’t comprehensive. It’s best to consult a professional since possible, if you think you isn’t a choice or moral failing. Notice, mental illnesses occur at similar rates worldwide, in every culture and in all socio economic groups. They have many causes and result from complex interactions between a person’s genes and their environment. Mental illnesses are disorders of brain function. Then the application of the requirements to as required in law prior to the ACA, cHIP plans is explained here in detail, the ACA did not alter the federal mental health parity requirements with respect to CHIP plans.

mental health policy issues Therefore this report also analyzes the impact of the ACA on the existing small employer exemption under federal mental health parity law.

Into that contextcomes this realization from Meghan Boggess’ story, CPS’ ‘’HalfAssed” Mental Health Policy Means Huge Caseloads, Little Counseling, Poor Conditions.

So Chicago Public Schools, as an example, need to address the mental health problems of a minimum of 80000 students, not taking into account the random regular traumas young people experience in a city peppered with violence, Therefore in case we extrapolate from data reported by the Centers for Disease Control and Prevention that one in any five students shows signs of a mental disorder. In 1996 a federal parity amendment was signed into law as part of the ‘VAHUD’ appropriations bill. Besides, was extended through December 31, 2002 when President Bush signed Public Law 107The Mental Health Parity Act of 1996 offers limited parity for the treatment of mental health disorders, with that said, this law expired on September 30, 2001 being that a sunset provision. That said, states that if mental health coverage is offered, the benefits must be equal to the annual or lifetime limits offered for physical health care, the statute does not require insurers to offer mental health benefits.

mental health policy issues Law, otherwise known as the Mental Health Parity Act of 1996, prohibits group health plans that offer mental health benefits from imposing more restrictive annual or lifetime limits on spending for mental illness than are imposed on coverage of physical illnesses. It also does not apply to substance use disorders, and businesses with fewer than 26 employees are exempt. Yollocalli Arts Reach Youth / Wattz Up! We need more books like Between the World and Me to tell the individual stories that deserve to be told. Basically, tune in every Sat from ’12 2pm’ to hear youth produced hosted talk shows! Ok, and now one of the most important parts. While shining light, he appeared from afar to be an ideal man and a bright. SCOTUS must stop Missouri from carrying out this unjust execution by TOMORROW. We see in him all the other friends, neighbors and passersby who are also good people and who suffer. Please share far and wide! Robin Williams commits suicide and we hurt. Just keep reading. In a move aimed at boosting mental health treatment, Health and Human Services Secretary Kathleen Sebelius onNov.

mental health policy issues Sebelius made the announcement to applause at the Rosalynn Carter Symposium on Mental Health Policy in Atlanta.The move finally puts mental health and behavioral health on equal footing, Sebelius said. It’s an interesting fact that the Mental Health Parity and Addiction Equity Act, signed by President George Bush, requires doctors and insurers to treat mental illness pretty much similar to physical illness. Now look, the letter provides general guidance on implementation of section 502 of CHIPRA, Public Law 111 3″, that imposes mental health and substance use disorder parity requirements on all Children’s Health Insurance Program State plans under title XXI of the Social Security Act. Fact, the Federal Centers for Medicare Medicaid Services issued a State Health Official letteron November 42009regarding the mental health parity requirements under the Children’s Health Insurance Program Reauthorization Act of 2009. That said, this letter also provides preliminary guidance to the extent that mental health and substance use disorder parity requirements apply to State Medicaid programs under title XIX of the Act. Letter also specifies that if a state requires legislation to be in compliance with the requirements, a state should not be found to be in violation before its next legislative session as long as it notifies the Secretary of HHS and she concurs that legislation is needed.

They ask that states in the circumstances submit a letter to the Center for Medicaid and State Operations to that effect since possible and include information as follows.

MT law allowed small employers to purchase a basic health benefit plan that does not include mental health and substance abuse treatment mandates.

With an exception for serious mental illnesses if the plan is issued to a large employer, hMOs to offer policies without mandates for the treatment of mental illness and chemical dependency. By the way, an insurer that offers such policy must also offer at least one policy with statemandated health benefits. Nation, through the actions of federal, state and local governments, and citizens in innumerable roles, united and moved forward.

Did you know that the terrorist strikes and their devastating aftermath are triggering the largest mental health challenge ever faced by employers and straining the USA’s army of grief counselors, not simply at the attack sites but in workplaces across the country.

The medical traumatic effects of those events impacted many people, for months or even years.

Impact will be far larger than the numbers directly affected. Eventually, while pointing to an earlier Surgeon General’s report on mental health and disasters, just in Arlington County, Virginia, some 20000 to 40000 of the county’s 200000 residents could experience a traumatic stress reaction from the attacks, officials estimate. It’s an interesting fact that the emotional fallout was expected to be so widespread that some health insurers are loosening restrictions on employees’ use of mental health services. Although, uSA Today reported it this way. It is public programs including Medicaid, Medicare, local health departments have separate standards of coverage -sometimes moreextensive than private market health policies.

List below is a general survey of these laws. Since coverage varies even further on the basis of employer and individual contracts, I know it’s not intended as a consumer guide to services,including services offered above or beyond the minimum required by state law, itprovides a quick comparison among states. Primer, provides an overview of behavioral health care, reviews the sources of financing for such care, assesses the interaction between different payers and highlights recent policy debates in mental health. Known this comprehensive resource serves as a guide for those who need to see the complex system of behavioral health financing in the United States.

Mental Health Financing in the United States. Whenever covering a quarter of all expenditures, it also discusses the role of Medicaid, currently the largest source of financing for behavioral health services in the nation. Examples below indicated with ##. In ‘2015 16’ the nonprofit Kennedy Forum is sponsoring a brand new webbased tool, Parity Track, online at It provides further details on individual state laws, regulations and implementation. Actually, the National Association of Insurance Commissioners listed 46 states with mandated requirements,not mentioningAK, AZ, MI and WY, as of February 2008. Fact, b) NAIC Mental Illness Treatment tally. Furthermore, for the next six months, we are focusing on mental health in Chicago, including mental health care in Cook County Jail, the city’s public mental health clinics and the link between mental health and violence. With that said, for more information, read on. Medill at Northwestern University is working with up to a dozen journalists who gonna be selected as fellows to report on those problems. Whenever offering the opportunity to improve access to care for millions of Americans with mental health disorders, the Patient Protection and Affordable Care Act will expand the Medicaid program.

Whenever structuring service delivery and conducting outreach and enrollment for this population, that has unique health and social service needs, states face a couple of decisions about designing benefits.

The discussion was the latest in an ongoing series of Health Reform Roundtables that explore key problems related to implementing the expansion of Medicaid under health reform.

With that said, this report highlights key policy opportunities and challenges about these decisions. Medicaid Policy Options for Meeting the Needs of Adults with Mental Illness under the Affordable Care Act, examines the salient problems raised in a recent roundtable discussion of national and state experts convened by the Commission, in partnership with the Bazelon Center for Mental Health Law, to discuss Medicaid policy options available under health reform to help meet the needs of adults with mental illness. Essentially, proud moments for SJNN Fellows, Jenny Galan and Jerry Salgado as they talk about their work in… https.//www.

Mental Health Policy Issues – It Might Still Be Some Amount Of Time Before Patients Can Expect More Coherent Implementation

mental health policy issues There’re many ways to have fun.go to a party, take up a completely new sport, enroll in community college, learn about photography, and so on.

Figure out how to make boring things in your lifespan more enjoyable as well.

Know what makes you happy, and aim to have fun more than not. Certainly, for the most part there’re many ways to be happy, and amidst the main ways is to find out how to have fun. Still, quite a few lawmakers reckon that making those investments could reap rewards that the CBO didn’t consider, like the savings incurred by helping people become productive members of society and keeping them out of emergency rooms and jails. American Psychiatric Association, that praised Clinton’s plan on Monday, pointed to its analysis that predicted a savings of between $ 26 billion to $ 48 billion if the physical and mental health care systems were more fully integrated.

Ever since the law was enacted in 2008 and addressed again throughout the 2010 healthcare overhaul, some health care providers have said they aren’t been tally sure what actually was required of them and consumers haven’t been tally sure what their rights are. I’m sure that the mental health bills in Congress will attempt to improve compliance by issuing guidance documents and requiring federal officials to clarify existing parity rules. Clinton says she should launch randomized audits to detect violations, strengthen compliance monitoring and create an easier process to report problems. Whenever enforcing parity laws might also be a difficult proposition, questions over paying for mental health care. Clinton says she would enforce socalled parity laws, that require insurance providers that offer mental health coverage to provide benefits that are just as good as those for physical health care.

mental health policy issues It would emphasize treatment instead of jail time for low level criminal offenders with mental illness. Democratic presidential candidate’s plan, released on Monday, would aim to promote early diagnosis and intervention, especially for children. Stabenow, who is actively stumping for Clinton throughout the campaign, wants to expand a program launched in 2014 that makes community behavioral health centers eligible for higher federal reimbursement rates. Of course, stabenow has introduced a bill analysis estimated a cost of at least $ 60 billion Did you know that the Clinton plan also will build on an initiative championed by Sen.

Mental Health Policy Issues: Webinars Whitepapers

mental health policy issues Lots of college students do not seek treatment for their eating disorder, nor do they believe they’ve developed a real poser.

We sometimes don’t eat, forget to eat, or eat junk when we’re stressed or have a ‘over full’ schedule.

We all have days where our selfimage ain’t the best. We look in the mirror and sigh since all we see are our flaws. Though lots of us are aware that there are signs you can watch for in yourself and your friends to determine an eating disorder, you must remember that few and random occurrences of every do not mean someone is at risk. It got a great bit done on behavioral health, including passage of the Excellence in Mental Health Act and funding for mental health ‘first aid’ training, the last Congress was criticized for lack of action.

mental health policy issues Behavioral Healthcare asked policy thought leaders to talk about which problems they believe may be top priorities in 2015.

Those are just first steps, and they require hundreds of followup work.

As the Affordable Care Act implementation continues to roll out, likewise behavioral health executives will monitor how it impacts their practices. On top of this, with a comment period before the final rule is published later in the year, providers must watch for the proposed rules to be published by CMS early in 2015. Seriously. In 2015, the Centers for Medicare and Medicaid Services also is expected to release new guidelines regarding parity in the Medicaid managed care market. As a result, the top policy issue that will unfold in 2015, observers say, involves parity enforcement now that the rules are on the books. I’m sure you heard about this. All eyes might be on state insurance commissioners as they monitor compliance among health plans, final regulations of the Federal Mental Health Parity and Addictions Equity Act went into effect in January. Then the CMS guidance as to how the federal parity law applies to Medicaid managed care may be crucial for treatment centers that serve the population, especially in states with Medicaid expansion, Ingoglia says.

mental health policy issues

One key policy move this year was set up by the April 2014 the Excellence passage in Mental Health Act.

The act permits pilots to begin this year in eight states that should be replicated nationwide after the ‘twoyear’ pilot phase.

It creates criteria for certified community behavioral health clinicsas entities designed to serve individuals with serious mental illnesses and substance use disorders to ensure a range of services is available. Federal officials with SAMHSA and CMS have spent time with state insurance commissioners making an attempt to answer their questions and provide technical assistance. Generally, while adding that there will likely be more class action lawsuits against insurers that struggle to meet requirements, the Parity Implementation Coalition and the Coalition for Whole Health also have parity on the radar, he says. Normally, ingoglia says the act is important for a couple of reasons, including the fact that it promises to create standards at federal and state levels about what care type might be available to people with serious mental illnesses.