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Federal Government Releases Mental Health and Addictive Disorder Coverage RegulationsA long sought advocacy goal of ACA and the rest of the behavioral health advocacy community was realized this week with the federal government's release of regulations requiring parity of health insurance coverage for mental health and addictive disorder services. No longer will health insurance companies be allowed to use separate and unequal treatment limits and cost-sharing requirements to restrict use of mental health and, for the first time, addictive disorder services. The regulations implement the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), and were released jointly by the Departments of Labor, of Health and Human Services, and of the Treasury on Friday, January 29th. The regulations were issued as an 'interim final rule,' meaning that minor modifications may be made following the comment period, which ends May 3rd. The regulations are posted online at The regulations will apply to health plan years beginning on or after July 1, 2010. The regulations do not contain any provisions regarding individual types of practitioners, but focus instead on the broader issue of how health plans devise their benefits packages. Under the regulations, private group insurance plans covering 50 or more people will no longer be able to use treatment limitations or financial requirements for mental and addictive disorder care that are not also used for substantially all other covered services. The regulations prohibit the use of both quantitative and non-quantitative types of treatment limitations on treatments. Thus, health plans will be prohibited from using both arbitrary numerical visit limits, and different preauthorization or utilization review procedures, for mental and addictive disorder services. The regulations apply the parity requirements to all of six separate components of a health plan: inpatient in-network care, outpatient in-network care, inpatient out-of-network care, outpatient out-of-network care, emergency care, and prescription drug coverage. The regulations also require health plans to use a single, combined annual deductible for all medical/surgical, mental health, and substance abuse care. Counselors are encouraged to comment on the regulations both to suggest improvements or clarifications and to express support by visiting the Counselor Medicare Coverage, And Health Care Reform, Close To Finish LineWith both the House and the Senate having passed comprehensive reform bills, our nation has never been closer to establishing a framework for a health care system to provide near-universal coverage. At the same time, the counseling profession has never been closer to achieving independent reimbursement under Medicare, the nation's single largest health insurance program. Both of these goals have been long-standing priorities for the American Counseling Association. The House-passed health care bill (H.R. 3962) includes Medicare coverage of counselors. Although the bill passed in December by the Senate (H.R. 3590) does not include Medicare coverage for counselors, it is our understanding that Senate offices are increasingly receptive to our provision. The health reform legislation is our best chance for making this happen. We need House and Senate members to finish the job. We encourage counselors to call their Representative and Senators to ask them to vote for comprehensive health insurance reform, to enact such legislation this year, and to include Medicare coverage of counselors in the legislation. However, we know that that some counselors do not support health insurance reform legislation. If you are one of these counselors, we encourage you to contact your members of Congress and especially your Senators to ask them to work to establish Medicare coverage of licensed professional counselors under health care or other legislation enacted this year. For more information or to share your concerns or questions regarding the legislation, contact Scott Barstow with ACA's public policy staff at 800-347-6647 x234, email: sbarstow@counseling.org. Want to Present at 2011 ACA Conference in New Orleans?Yes-it's time to start thinking about the 2011 ACA Conference & Exposition in New Orleans, March 23-27. Begin developing your ideas for Education Sessions and Learning Institutes and contact any co-presenters. Remember these dates: proposal submission site goes live March 29, 2010. Proposals are due June 2, 2010, 5pm ET. Teen Drinking May Cause Brain Damage
In the News: Balancing Work and Finances Drives College Dropout DecisionsA national survey conducted by the Public Agenda and the Bill & Melinda Gates Foundation and reported in the The Washington Post has found that college dropouts are likelier to attribute their departure to the need to balance work and finances than the cost of college. Students pointed to flexible scheduling and financial aid for part-time students as factors that might have kept them in the college classroom. New ACA Book Offers Nuts and Bolts of Clinical SupervisionClinical Supervision in the Helping Professions: A Practical Guide, Second Edition
2010 | 304 pgs ACA Represents Counseling at Special NIMH MeetingOn January 22, ACA represented the counseling profession at a special National Institute of Mental Health (NIMH) small group discussion. Called for by the NIMH Director, Dr. Thomas Insel, the focus of the meeting was on innovative ways for NIMH to disseminate information on mental illness. In his introduction, Dr. Insel stressed that he was aware that NIMH needs to improve the quality of communications with both mental health professionals and the public. ACA provided feedback to NIMH on the type of information that is most useful to our members and their clients and possible ways that NIMH might develop and disseminate this information. ACA stressed the need to focus on wellness, psychosocial aspects of mental illness, and multicultural applications. A follow-up is anticipated, so please e-mail any thoughts you have about NIMH and how it can better help professional counselors and those we serve to David Kaplan, ACA Chief Professional Officer, at dkaplan@counseling.org. Your ideas will be brought to the next meeting. Conference Clipping: Pittsburgh Consults are "Value Added" Member Service
Go to: All consults will take place in the Exhibition Hall at the Career Center Saturday and Sunday 10:30-6pm. Questions? Write to confconsults@counseling.org. The Economix Blog of the New York Times reported in January that the recession has disproportionately hurt men who tend to work in cyclically sensitive industries and occupations, including manufacturing and construction. Women, who tend to be overrepresented in recession proof sectors like health care and education, have not felt a corresponding job loss. Come a day or two early and expand your professional development. There is a separate registration fee for LIs: $90--$155 if you register by February 15. ACA now publishes four special focus editions of ACAeNews in addition to 24 issues of the "regular" ACAeNews. Each special focus edition is published three times per year and is written for members in specific settings and situations. The four special focus editions, which are free to ACA members, are: Members can access any or all editions on an opt-in basis. February 17-19, 2010 February 18-21, 2010 March 11-12, 2010 April 9-11, 2010 April 12-13, 2010 April 15-17, 2010 April 22-24, 2010 ACA divisions, branches, and regions are valuable sources of learning and professional development. Information on events will be posted approximately 8-10 weeks prior. This information is made available to ACAeNews via the ACA master calendar and the various organization web sites. Send calendar items to dbrown@counseling.org. Please provide the sponsor, dates, site and contact person information. Information posted here is restricted to that sponsored by ACA divisions, branches, regions and related organizations. ACAeNews is published 24 times annually by the American Counseling Association for the benefit of members across the counseling profession. Any reference to a product, service, activity or listing of a web site in ACAeNews does not imply endorsement by ACA. Any views and opinions are those of the sponsoring organization and may or may not be shared by ACA Direct comments, questions, and submissions to fburtnett@counseling.org. All submissions will be subject to review by ACA for accuracy, timeliness, and relevance to the readership and may be edited. Lynn E. Linde, President Richard Yep, CAE, Executive Director Debra Bass, Director of Marketing and Communications Frank Burtnett, NCC, NCCC, ACAeNews Editor Don Kenneally, Internet Development / Production ACA Website: www.counseling.org Copyright 2010, American Counseling Association, 5999 Stevenson Avenue, Alexandria, VA 22304. Telephone: 703-823-9800. Email: fburtnett@counseling.org. Permission is hereby granted to reproduce anything contained in this newsletter as long as the American Counseling Association is identified as the original source of the information. Copyright 2010, American Counseling Association, All Rights Reserved. |
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