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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
Sketch of a shackled inmate at London's Bethlem Royal Hospital, known as
Bedlam. Photograph: Time & Life Pictures/Getty
Health Expenditure as a Share of GDP
in 2010
Organization for Economic Cooperation and Development (OECD)
Health Spending Per Capita by
Category of Care
Source: WHO
Mental Health Expenditures by Type of
Service in 2005
0
5
10
15
20
25
30
35
Expenditure
Expenditure
Mental Health Care Justice?
Senator Paul Wellstone Addressing a
DC Crowd About Mental Health Parity
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
Center on Budget and Policy Priorities http://www.cbpp.org/cms/index.cfm?fa=view&id=3819
Medicaid Expansion – April 21, 2013
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
Affordable Care Act
• Additional innovative options for those with
mental health conditions
– Community First Choice Option
– Health Homes
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)
Artist:
Igor Morski
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.
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.
Helpful Websites
• http://www.healthcare.gov/law/
• http://www.healthcare.gov/using-
insurance/low-cost-care/medicaid/
• http://www.cbpp.org/cms/index.cfm?fa=view
&id=3819
• http://www.oecd.org/
Thank you!
• Questions? Please don’t hesitate to contact
me –
• Jayme Xaris in Second Life
• Jayme Nelson in Real Life
– nelsjaym@luther.edu

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Will you treat me?

  • 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)
  • 5. Health Spending Per Capita by Category of Care
  • 7. Mental Health Expenditures by Type of Service in 2005 0 5 10 15 20 25 30 35 Expenditure Expenditure
  • 9. Senator Paul Wellstone Addressing a DC Crowd About Mental Health Parity
  • 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.
  • 19. Helpful Websites • http://www.healthcare.gov/law/ • http://www.healthcare.gov/using- insurance/low-cost-care/medicaid/ • http://www.cbpp.org/cms/index.cfm?fa=view &id=3819 • http://www.oecd.org/
  • 20. Thank you! • Questions? Please don’t hesitate to contact me – • Jayme Xaris in Second Life • Jayme Nelson in Real Life – nelsjaym@luther.edu