CounselorsEmpowerACA Government Affairs Blog

The ACA Government Affairs team strives to keep the counseling community connected with important legislative news, updates, and announcements that affect the profession. Questions? Want to get involved in our advocacy efforts? Email us at 


Jan 31, 2019

Support New Legislation That Would Provide Medicare Reimbursement to Counselors

On Jan. 31, Senator John Barrasso (R-WY), Senator Debbie Stabenow (D-MI), Representative Mike Thompson (D-CA) and Representative John Katko (R-NY) introduced the Mental Health Access Improvement Act of 2019. This measure would include Licensed Professional Counselors (LPCs) and Marriage and Family Therapists as covered Medicare providers.

Why this bill is important.

Medicare does not include Licensed Professional Counselors in its coverage. Medicare beneficiaries are often at higher risk for mental health problems, such as depression and opioid addiction, yet older Americans are the least likely to receive mental health services. Only 1 in 5 older Americans receive needed mental health care, according to the National Alliance on Mental Illness (NAMI).

Medicaid recipients can see an LPC and Medicaid will cover them—until they reach 65. Many individuals with private health insurance have mental health coverage but, once they retire, find that they can no longer afford to see an LPC. The passage of this legislation will enable Medicare to help the 4 out 5 seniors currently not receiving much-needed mental health care. In rural areas, there are often more LPCs available than all of the other types of mental health professionals, combined, in practice.

You can help ACA pass this bill this year!

The American Counseling Association needs your help to encourage members of the Senate and the House of Representatives to cosponsor the Mental Health Access Improvement Act. In previous years, this bill was passed in the House of Representatives and the Senate, but it was never passed in both chambers during the same session of Congress.

You can click here to send your elected representatives a message about the measure. You can add your own thoughts to the message. The Senate bill is S. 286. The House bill is H.R. 945.

You can also call the U.S. Capitol at 202-224-3121 and ask to speak to someone in your elected representatives' offices. A phone call is sure to get the attention of someone in a congressional office. Be sure to let them know about your role as a Licensed Professional Counselor.

If you are available to meet with someone in your elected representatives' state offices about the Mental Health Access Improvement Act, contact Scott MacConomy at ACA by email at for help in setting up a meeting.

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1 Comment

  1. 1 Melissa thomas 02 Feb
    Please consider cosponsoring the Mental Health Access Act Improvement.


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