Shaping Our Future:Updates and Opportunities for the             Field  Gabrielle de la Guéronnière Legal Action          ...
Legal Action Center Advocacy for people with addiction histories, criminal records, and HIV/AIDS  Thirty-five year histo...
Parity and Health Care Reform:A Time of Tremendous Opportunity Greater understanding of addiction as  preventable, treata...
Parity and Health Care Reform: A Timeof Tremendous Opportunity (cont’d)   All plans in the exchange must adhere to the   ...
Parity and Health Care Reform: A Timeof Tremendous Opportunity (cont’d) Inclusion of addiction in integrated  care initia...
Huge Opportunities But Miles toGo…  The success of these laws depends on  decisions that will be made in the  coming days...
ACA implementation:Our Advocacy on Benefit Design Huge opportunity to expand coverage  for and access to care SUD/MH ben...
ACA implementation:Our Advocacy on Benefit Design (cont’d) Advocacy of the national SUD and MH groups:  the Coalition for...
Our Advocacy onParity Implementation Interrelationship with ACA advocacy—opportunity for  huge expansions in coverage by ...
Protecting Safety Net Funding Recognition that ACA coverage provisions do not  go into effect until 2014 We don’t yet kn...
Our Advocacy on Strong Safety NetFunding  Advocacy by the national drug and alcohol  community   Fighting for highest po...
Our Advocacy: Now More Important ThanEver  Continued outreach and education—   within and outside of our field  Connecti...
Gabrielle de la Guéronnière     gdelagueronniere@lac-dc.org202-544-5478 (phone) 202-544-5712 (fax)            www.lac.org ...
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Gabrielledela gueronierre

  1. 1. Shaping Our Future:Updates and Opportunities for the Field Gabrielle de la Guéronnière Legal Action Center 2011 NCADD Advocacy Day September 8, 2011
  2. 2. Legal Action Center Advocacy for people with addiction histories, criminal records, and HIV/AIDS  Thirty-five year history of policy analysis and advocacy  Federal policy work  Advocating for the expansion of services and resources for people with addiction histories, criminal records, and HIV/AIDS  Fighting discrimination: eliminating legal and policy barriers in place for people with addiction histories and criminal records
  3. 3. Parity and Health Care Reform:A Time of Tremendous Opportunity Greater understanding of addiction as preventable, treatable chronic health condition Federal parity statute and regulations (MHPAEA) are now in effect for all covered plans Dramatic expansion of coverage of addiction treatment  SUD and MH benefits must be included in the ACA’s essential health benefit package; these benefits must be offered:  By private insurance plans participating in the health insurance exchanges  Individual and small group plans, States can allow large employers to participate in the exchanges in 2017  For newly-eligible Medicaid enrollees, including
  4. 4. Parity and Health Care Reform: A Timeof Tremendous Opportunity (cont’d)  All plans in the exchange must adhere to the provisions of the federal parity law  SUD and MH benefits provided to the Medicaid expansion population also must comply with parity  Building on the federal parity law: o SUD/MH benefits required and must be provided at parity o Extension to individual and small group plans o Requirement for SUD and MH benefits for the Medicaid expansion population
  5. 5. Parity and Health Care Reform: A Timeof Tremendous Opportunity (cont’d) Inclusion of addiction in integrated care initiatives  Health homes and accountable care organizations Inclusion of substance use prevention in chronic disease prevention initiatives Identification of the addiction service workforce as part of the health workforce
  6. 6. Huge Opportunities But Miles toGo…  The success of these laws depends on decisions that will be made in the coming days, months and years  Decisions in Washington and by state and local policy-makers around the country  There is a critical need for our field to educate and advocate to ensure these laws are well implemented for the people we serve
  7. 7. ACA implementation:Our Advocacy on Benefit Design Huge opportunity to expand coverage for and access to care SUD/MH benefits required by not defined in the ACA Key next steps in the process to define the SUD/MH essential health benefit:  Institute of Medicine—report due by the end of the month  Proposed regulations on the essential health benefit (possibly) released by HHS by the end of the year  Various opportunities for public comment
  8. 8. ACA implementation:Our Advocacy on Benefit Design (cont’d) Advocacy of the national SUD and MH groups: the Coalition for Whole Health Crafting a comprehensive SUD and MH benefit Coalition for Whole Health Essential Health Benefits Recommendations paper; continued need for broad organizational sign-on  www.lac.org; National Health Care Reform link Using the paper with other education and advocacy tools with decision-makers in the Administration and to engage our allies in Congress Parallel advocacy process needed in the states
  9. 9. Our Advocacy onParity Implementation Interrelationship with ACA advocacy—opportunity for huge expansions in coverage by private insurance Continued challenges—fighting violations of both the letter and spirit of the law Advocating for additional guidance at the federal level Monitoring compliance and encouraging strong federal and state activity and response  Gathering information about plan compliance; filing complaints for violations of the law; aggregating information and sharing with the regulators  Templates and other resources by the Parity Implementation Coalition: www.mentalhealthparitywatch.org Engaging our champions Continued tremendous need for education
  10. 10. Protecting Safety Net Funding Recognition that ACA coverage provisions do not go into effect until 2014 We don’t yet know which services will be included in the SUD essential health benefit Huge need for continued strong federal funding for prevention, treatment, recovery supports and research before the ACA is fully implemented and beyond  During this interim period before expansion has occurred  Through implementation of the ACA to cover the services not included and the people who remain uncovered or underinsured
  11. 11. Our Advocacy on Strong Safety NetFunding  Advocacy by the national drug and alcohol community  Fighting for highest possible funding for SAMHSA and the continuum  Huge need for a continued push from around the country with Congress and the Obama Administration; www.lac.org  Need to ensure our system of care is strong now and beyond
  12. 12. Our Advocacy: Now More Important ThanEver  Continued outreach and education— within and outside of our field  Connecting our work in Washington with implementation efforts around the country  Speaking with one cohesive voice  Finding the best ways to engage our champions  Advocating for the strongest possible SUD benefit through the ACA  Protecting safety net programming  Monitoring implementation and informing our federal partners about successes and non-compliance
  13. 13. Gabrielle de la Guéronnière gdelagueronniere@lac-dc.org202-544-5478 (phone) 202-544-5712 (fax) www.lac.org www.hirenetwork.org

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