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SAMHSA’s Award-Winning Newsletter
May/June 2010, Volume 18, Number 3 

HealthReform.gov - Silhouettes of standing adults with 2010, 2011, 2013, 2014 on right side

HealthReform:
Overview of the Affordable Care Act

What Are the Implications for Behavioral Health?

On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (ACA), which seeks to make health insurance coverage more affordable for individuals and families and the owners of small businesses.

When fully implemented, the law will provide access to coverage for an estimated 32 million Americans who are now uninsured. It reforms insurance markets to make them more competitive and protect consumers’ rights by prohibiting such practices as excluding people from coverage due to pre-existing conditions, placing annual or lifetime caps on coverage, banning rescission of coverage, and establishing basic minimum benefit packages.

ACA references a variety of service issues that require discussion and recommendations regarding a set of services that should be available for individuals with mental health and addiction needs. The law will:

  • Fundamentally change what services will be available to individuals that have mental health and addiction disorders. Various provisions will require benefit packages that include treatment for mental health and substance use disorder services, prescription drugs, rehabilitative, habilitative, and prevention and wellness services. These services must be available in benefit packages by Fiscal Year (FY) 2014.
  • Expand access to prevention services, including annual wellness visits, and include outreach and education campaigns. In addition, grants will be available to implement, evaluate, and disseminate community prevention activities beginning in FY 2010.
  • Create additional incentives to coordinate primary care, mental health, and addiction services. In FY 2011, grants and Medicaid reimbursement will be available for the creation of health homes for individuals with chronic health conditions, including mental illness and substance use disorders.

  •           In addition, grants will be available to school-based health centers that will offer mental health and addictions services. Grants may also be available in FY 2011 to programs co-locating primary and specialty care.
  • Enhance community-based service options for individuals with a mental health and/or substance use condition. Medicaid state plan changes and demonstration grants will expand these services for individuals who have longterm care needs (e.g., dual-eligibles, high-risk Medicare beneficiaries, 1915i changes, Money Follows the Person). In addition, the CLASS Act* creates a self-funding initiative for individuals who need home- and community-based services. Some of these initiatives begin in FY 2010.
  • Develop capacity to provide services in an effective and modern mental health and substance use system through various workforce initiatives, including education and training grants, loan repayment programs, and primary care residency training.

Find out more information about health reform and the Patient Protection and Affordable Care Act at HealthReform.gov.

*Community Living Assistance Services and Supports Act



  Cover Story & Related Articles  
Promoting Wellness in Early Childhood

Promoting Wellness in Early Childhood

Project LAUNCH focuses on children from birth to age 8.


  From the Administrator  
Your Responses to What's in a Term?

Your Responses to “What’s in a Term?”

Comments are continuing to arrive in SAMHSA’s email reader-response box. Thank you! Read the responses so far.

Your Comments, Ideas, Personal Stories . . .

Your Comments, Ideas, Personal Stories . . .

SAMHSA has received more than 150 emails in response to the Administrator’s call for comments. Read selected responses.


  Health Reform  

Affordable Care Act: Implications for Behavioral Health

The Act improves services for people who have mental health and substance use disorders.



  Suicide Prevention in American  
  Indian Communities  
Helping Youth “Live To See the Great Day That Dawns”

Helping Youth “Live To See the Great Day That Dawns”

AI/AN youth are 10 times more likely to attempt suicide.

First-Person: Commitment, Hope, Community

Collaborating across tribes helped create a needed publication for AI/AN youth.



  Teens & Substance Abuse  
Adolescents Do What Every Day?

Adolescents Do What Every Day?

A day in the life may include more than texting and homework.

Tobacco Sales to Minors Increasing?

Tobacco Sales to Minors Increasing?

Sales of tobacco to minors increased nationally in 2009.

Youth Smoking & Maternal Risk Factors

Youth Smoking & Maternal Risk Factors

If a mother smokes, does that affect her teen?

Teen Smoking: New Data

Trends in young people’s smoking habits.



  Treatment  
TIP 49 in Your Pocket

TIP 49 in Your Pocket

Pocket “Quick Guides” for counselors and physicians.

By Metro Area: Treatment Data

By Metro Area: Treatment Data

Activities in 27 metro areas include Baltimore and San Diego — Metro Briefs.


  Awards  
PRISM Awards Honor Films, Television

PRISM Awards Honor Films, Television

Kudos for the realistic depiction of substance abuse and mental illness in film and TV.


  Staff in the News  
Leadership Award to Kana Enomoto

Leadership Award to Kana Enomoto

The Arthur S. Flemming Awards honors SAMHSA’s Kana Enomoto.


  Ending Seclusion & Restraint  

Organizations Making a Difference

SAMHSA honors facilities for reducing these practices.



  Drug Abuse Warning Network  
  (DAWN)  

Rise in Nonmedical Use of Pain Relievers

Emergency visits double for prescription opioid pain relievers.



  Recovery Month  
Toolkits, Posters Available

Toolkits, Posters Available

For September, planning materials at RecoveryMonth.gov.



  


Substance Abuse & Mental Health Services Administration – 1 Choke Cherry Road – Rockville, MD 20857
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