Health Care Reform

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Significantly, the ACA includes mental health and substance use disorder services as well as rehabilitative services as components of the "Essential Benefits" package that must be offered to cover the uninsured. The ACA also extended provisions of the Mental Health Parity and Addiction Equity Act to more plans, so now more health insurance plans must offer mental health and substance use benefits on parity with medical and surgical benefits.

Since the passage of the ACA, health care has continued to evolve. These reforms, along with an increasing focus on public health promotion, prevention of illness and community engagement, represent a movement toward population health in which systems work to constantly improve health outcomes, meet the needs of individuals, and reduce total costs. But MHA emphasizes that these reforms must be carried out in a way that encourages more providers to accept federal insurance, since the dearth of providers available to serve people with mental illnesses who are dependent on federal and state medical insurance is reaching crisis levels, especially in rural areas.

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