Government Affairs: Latest News & Updates 

ACA Members on Capitol Hill During the 2019 Institute for Leadership Training

The Government Affairs team advocates for you and your profession on issues ranging from Medicare reimbursement to portability to school counseling funding. Adding your voice makes our message stronger. Join us by contacting your representatives on issues that matter to you.


June 30, 2020

 ACA Sends H.R. 945 Support Letter to House Energy & Commerce

The American Counseling Association recently sent a support letter to the House Energy & Commerce subcommittee on Health in advance of the subcommittee’s hearing on "High Anxiety and Stress: Legislation to Improve Mental Health During Crisis.” The letter details the need for the inclusion of licensed professional counselors (LPCs) as Medicare providers.

H.R. 945, the Mental Health Access Improvement Act, will be one of a handful of bills discussed during the hearing. The Energy & Commerce subcommittee’s jurisdiction includes, among other things, public health and quarantine, mental health, public health insurance (Medicare, Medicaid), and private health insurance.

2020 Government Affairs and Public Policy Virtual Town Hall Recap

If you were unable to attend the 2020 Government Affairs and Public Policy Virtual Town Hall, here’s what you missed (in part):

Federal Updates

  • The Mental Health Access Improvement Act of 2019 (H.R. 945/S. 286)
    • Congressman Mike Thompson (D-5-CA) spoke to attendees about why he sponsored H.R. 945 and how to advocate for this bill on Capitol Hill. He also participated in a question and answer session with attendees.
    • There are currently 114 co-sponsors in the House and 30 co-sponsors in the Senate.
  • Successes this year included:
    • Fully engaging with Substance Abuse and Mental Health Services Administration (SAMHSA)
    • The federal Expansion of Practitioner Education Grant now includes the counseling profession
    • Congress authorized funding for Title IV Part A at 1.6 billion dollars through Fiscal Year 2021.

State Updates

  • ACA’s counseling resources during COVID-19 includes the following:
    • Resource Package
      • Telebehavioral Health for States
      • Template Letter to State Governors
      • COVID-19 State Resources
    • State Support
      • Governor’s Office/Executive Orders
      • Governor’s Cabinet/Executive Administration
      • Licensure Boards
  • ACA is working diligently to bring states into greater alignment by working with our national ACA network and allies to advance key priorities and policy:
    • Interstate compact for licensure
    • Conversion therapy bans
    • Ensuring ethical and educational standards meet current best practices
  • Successes this year included:
    • Our team registered a rising tide of anti-LGBTQ legislation in several states. We worked in partnership with our branches and chapters to combat legislation that would have adversely impacted the counseling profession. We are proud to report that Virginia became the 20th state to ban the unethical practice of conversion therapy.
    • Finishing an interstate compact for licensure bill draft for stakeholder feedback this month. A public facing bill draft is expected to be ready following stakeholder feedback in the late fall of this year.

Grassroots Updates

  • Over 17,000 messages were sent to Members of Congress this past year.
  • ACA introduced two new initiatives this year: (1) Advocacy Power Hour and (2) Story Collection Campaign.
  • Advocates were challenged to take action by completing three easy tasks.
  • Successes this year included:
    • Recruiting over 7,000 first-time advocates.
    • Working closely with members of the counseling profession in Iowa and Michigan to successfully oppose the adoption of state regulatory policies adversely impacting Licensed Professional Counselors’ scope of practice.
    • Collected 1,780 stories from advocates and shared these stories with Members of Congress on Capitol Hill.

This is just a snapshot of what was discussed during the virtual town hall. A recording of the virtual town hall is available on ACA’s YouTube channel, CounselingViews

Answers to questions submitted for the virtual town hall can be found in July’s Counseling Today.

To review the virtual town hall presentation and read about the panelists, please see the additional information below:


May 11, 2020

Medicare Bill Sponsor Sends Letter of Support to Congressional Leaders

The American Counseling Association recently requested stories from our members about the way COVID-19 has affected you and your clients. We took those stories, along with additional data, to the sponsor of the Mental Health Access Improvement Act (H.R. 945), Representative Mike Thompson (D-CA).

 Rep. Thompson has been in talks with congressional leadership about the possible inclusion of our Medicare bill (H.R. 945) in one of the upcoming COVID-19 stimulus packages. Thompson’s office was able to submit a letter to congressional leaders on ACA’s behalf, detailing the need for the inclusion of licensed professional counselors (LPCs) as Medicare providers.

As Members of Congress continue to negotiate legislation responding to the COVID-19 pandemic, it is very important that you urge lawmakers to expand access to critical behavioral health services for Medicare beneficiaries. This is particularly vital during this time of uncertainty.

ACA is grateful to Rep. Thompson and his staff for all of their hard work and for supporting ACA’s advocacy efforts for professional counselors.


May, 4, 2020

Rural LPC’s Provide Telebehavioral Health Services under Medicare during Pandemic

On March 27, 2020, the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) was signed into law. Section 3704 of the CARES Act authorizes Rural Health Clinics (RHCs) and Federally Qualified Health Clinics (FQHCs) to provide telebehavioral health services to Medicare beneficiaries during the COVID-19 health emergency.

Medicare telehealth services generally require an interactive audio and video telecommunications system that permits real-time communication between the practitioner and the patient. RHCs and FQHCs with this capability can immediately provide and receive payment for telehealth services to patients covered by Medicare for the duration of the COVID-19 health emergency.

Remote telebehavioral health services can now be provided by any health care practitioner working for the RHC or the FQHC within their scope of practice. This includes licensed professional counselors (LPCs), working under the supervision of an RHC practitioner, and within their state’s scope of practice. The RHC or FQHC are eligible to bill for these services, NOT LPCs individually. Please take a look at the telehealth language, from the Center for Medicaid and Medicare services (CMS).

If you have questions or need additional information, please contact the ACA Government Affairs and Public Policy team at

March 27, 2020

ACA Endorses COVID-19 Telehealth State Coverage Letter  

On Wednesday, the American Counseling Association signed on to a letter to Congressional Leadership, Governors and State Insurance Commissioners requesting “states to temporarily lift restrictions on telebehavioral health at all levels of care by telephone or video for individuals—regardless of insurance plan—and ensure payment parity until the conclusion of this national emergency.”

March 26, 2020

ACA is hard at Work on the Policy front for You and for the Clients You Serve

Your Government Affairs and Public Policy team is hard at work for you and for your clients.  We continue to educate public officials on all of the unique needs of the counseling community.

Oct. 4, 2019

Michigan Department of Licensing and Regulatory Affairs Proposed Changes to Scope of Practice for Licensed Professional Counselors

The American Counseling Association's Richard Yep, CAE, FAFAE, Chief Executive Officer thanks the Michigan Department of Licensing and Regulatory Affairs Bureau of Professional Licensing – Boards and Committees Section (“Board”) for the opportunity to provide written testimony in opposition of the
proposed rule changes to R338.1751 and R338.1757.

Government Affairs Blog Posts


LGBTQ Rights Watch: Transgender Healthcare

by Dominique Marsalek | Jun 26, 2020

We’ve heard our members’ concerns about the recent anti-LGBTQ healthcare proposal set forth by the Trump Administration and remain dedicated to providing you with leadership on these critical issues. It is certainly true that we find ourselves in difficult and turbulent times regarding LGBTQ policy. On one hand, we are facing unexpected matters of grave concern such as the attempted removal of transgender health care protections by the Trump Administration, but on the other hand we have sudden and hard-fought victories, such as the recent Supreme Court decision to uphold equal workplace protections. There is reason to believe that the recent Supreme Court decision offers further precedent in the fight for health care equity. At the end of the day, no single administration can supersede federal law, so we will most likely find the solution to this health care crisis caused by administrative action through the courts.

On June 19, 2020, the Administration uploaded a new Rule onto the Federal Register amending Section 1557 of the Patient Protection and Affordable Care Act. These amendments are set to go into effect on August 18, 2020. The amendments seek to strip certain civil rights protections within the implementation of the Affordable Care Act program and to force a reliance instead on longstanding statutory interpretations of underlying civil rights statutes. In doing so, it is clear again that there remains significant room to oppose such actions based on the clearly established intentionality of civil rights law. Courts have historically interpreted these protections to include sexual and gender identity. This is further supported by the recent Supreme Court success regarding workplace protections for the transgender community.  

On Monday, June 22, Lambda Legal and Steptoe & Johnson LLP filed a lawsuit with the United States District Court for the District of Columbia challenging the Trump Administration's recent rollback of the provisions within the Affordable Care Act explicitly prohibiting discrimination in health care against patients who are transgender. The case makes clear that longstanding statutory interpretations of civil rights law does in fact support the transgender-inclusive language as currently written and that removing such language invites potential violations of anti-discrimination and equal protection laws by providers receiving federal funding.

While the Trump administration is moving to enact a rule change misinterpreting explicit protections for transgender people in health care by excluding protections from discrimination based on gender identity, it is important to know that these protections still exist under federal (and often state) law. Administrative rule-making cannot supersede standing civil rights law nor the anti-discrimination language within the 1557 federal statute. Typically administrative rules seek to further flush out such language by determining explicit implementation and application of law. By removing protective language via rulemaking, the Administration is thereby refusing to take part in the determination of application for the protections enacted by Congress that are still fully in force. Despite this, these protections, with or without the clarity and guidance of administrative rulemaking, still exist and it is still unlawful for providers to engage in acts of discrimination in a health care setting or in an insurance plan based on sex and gender identity. This repeal may embolden certain people to harass or deny care, but such conduct is still illegal. Counselors are encouraged to continue to operate under standing federal law and ethical guidelines for the profession.

For those ACA members wishing to take action on this issue, our advice is to utilize this information for editorials to local papers and to make public statements on your various social media and membership engagement channels in order to fight the narrative that this Administration can simply remove health care protections on their own. It is important to discourage providers from discriminating and to warn the public that discriminatory behavior on the basis of sex and gender identity violates not just ethical standards but standing federal law.


Further Resources:

  1. American Counseling Association’s Code of Ethics:
  2. Ethical Decision Making:
  3. State-by-state Road Map on Transgender Healthcare Policy:


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