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1. Will you Treat ME?
Funding Mental Health Care Treatment
Now and Under the Affordable Health Care Act
Jayme Xaris / Jayme Nelson
Associate Professor of Nursing
Luther COllege
2. Sketch of a shackled inmate at London's Bethlem Royal Hospital, known as
Bedlam. Photograph: Time & Life Pictures/Getty
3.
4. Health Expenditure as a Share of GDP
in 2010
Organization for Economic Cooperation and Development (OECD)
10. How will the Affordable Care Act
Impact Mental Health Care Coverage?
• Access, Access, Access….
• Extension of coverage of dependents to age
26
• Abolishment of pre-existing conditions
• Creation of health insurance exchanges
– Language that you will be able to understand
– Exchange must cover mental health services and
substance disorder services
11. Center on Budget and Policy Priorities http://www.cbpp.org/cms/index.cfm?fa=view&id=3819
Medicaid Expansion – April 21, 2013
12.
13. ACA and Mental Health Parity Act
• This combination provides powerful mental
health coverage to millions of Americans
– Mental health care and substance abuse part of
10 essential services
– Mental Health Parity Act requires that services be
on par with all other services
14. Affordable Care Act
• Additional innovative options for those with
mental health conditions
– Community First Choice Option
– Health Homes
15. Why should we care about mental
health parity?
• Growing research indicates a physiologic
component to mental health illness
• Mental health related fatalities exceed those
of HIV/AIDS
• Increased costs would most likely be offset by
increased worker productivity and decreased
utilization of other costs (general medical
service utilization)
17. References
• Krisberg, K. (2012). Health Law Raising U.S.
Mental Health Parity to the Next Level. The
Nation’s Health. Sept. 2012.
• Mauldin, J. (2011). All Smoke and No Fire?
Analyzing the Potential Effects of the Mental
Health Parity and Addiction Equity Act of 2008.
Law and Psychology Review 35; 193-207.
• Mechanic, D. (2011). Behavioral Health and
Health Care Reform. Journal of Health
Politics, Policy & Law 36 (3): 527-531.
18. References
• Siegwarth, A. & Koyanagi, C. (2011). The New
Health Care Reform Act and Medicaid: New
Opportunities for Psychiatric Rehabilitation.
Psychiatric Rehabilitation Journal 34 (4); 277-
284.
• Smith, D., Lee, D. & Davidson, L. (2010).
Health Care Equality and Parity for Treatment
of Addictive Disease. Journal of Psychoactive
Drugs 42 (2); 121-126.