Legislation Comparison Grid
Advocacy Statement
The problem of addressing mental health is no less acute and essential than the treatment of physical issues and ailments. However, due to prevailing stereotypes, it is often believed that psychological problems are of less importance and do not require special treatment and approach. Fortunately, recently this situation has changed due to the introduction of various kinds of bills. H.R. 945 is one such project designed to improve the mental health situation of the older generation of American citizens. This bill is of great importance and value to American society, and therefore should be carefully considered and studied.
First of all, H.R. 945 aims to change the working conditions of marriage and family therapists and counselors. In the text of the document, precise definitions are described that explain the essence of the work of these specialists. Among other things, it is indicated who can engage in this type of activity, what requirements for this must be met (“H.R. 945,” 2019). Even this amendment alone makes it possible to structure specialists involved in the provision of mental assistance and to limit the provision of such services to people who do not have specialized knowledge for this. Undoubtedly, a clear consolidation of the concepts of marriage and family therapists and counselors will improve the quality of their services.
There are many problems associated with providing adequate medical care. According to Raviola, Naslund, Smith, and Patel, a combination of factors such as politics, the number of specialists, and financing make the task of timely and high-quality assistance challenging (2019). However, regulating the economic relations between the state and specialists is much more critical. H.R. 945 is precisely the solution to these problems because it finally allows marriage and family therapists and counselors to use the resources of the Medicare program.
This program is aimed at providing health insurance for U.S. citizens from 65 years of age and older. Still, the methodology of its work at the moment significantly complicates the reception of assistance for this group of people. Medicare does not make direct payments to the above specialists, requiring monitoring by a doctor (Petruzzelli, 2019). This dramatically complicates people’s access to the services of this program, since a vast number of people live without direct access to both doctors and medical resources. According to Petruzzelli, almost 77 percent of U.S. regions lack qualified specialists, which is equal to approximately 80 million Americans who cannot be provided with sufficient support (2019). Despite the existence of a program like Medicare, its implementation in practice is very difficult. This bill is aimed to facilitate the implementation of this concept.
Undoubtedly, H.R. 945 does not solve all the existing problems in this area and cannot single-handedly change the whole situation with the provision of psychological assistance. However, this bill allows realizing the opportunities that have already been laid down by the state in the framework of the existing program. The implementation of this project will not lead to a significant increase in tax costs and other deductions in favor of Medicare. Since the money to help the American elderly is already a part of the foundation of this program, H.R. 945 facilitates access to this fund and allows its implementation.
As a concrete example, the relationship between Medicare and marriage and family therapists and counselors will help to manage the opioid crisis in the United States. Since Medicare pays a third of all opioid-related hospitalizations, it can be said that this program is directly related to the fight against this phenomenon (Petruzzelli, 2019). In this case, various public opioid control services will be able to access the services of therapists and counselors through this program, thereby reducing the cost of hospitalization.
Thus, H.R. 945 does make it possible to address many social problems, but this bill still does not cover all the shortcomings of the current healthcare system. Although its goal is to facilitate the access of people throughout the country to the services of therapists, specialists must still be located in the relevant regions to be able to provide these services. Since the current version of the bill does not regulate it in any way, perhaps some amendments should be made to it, which will encourage professionals to travel to sparsely populated regions. In the text of H.R. 945, there is a clause explicitly regulating payments through Medicare for therapists and counselors as 80 or 75 percent of the cost of their services (“H.R. 945,” 2019). As an incentive amendment, a subparagraph can be made that will guarantee increased payments to counselors if they provide their services to patients in remote places. This amendment will help to combat further the acute shortage of specialists throughout the United States.
References
H.R. 945 — 116th Congress: Mental health access improvement act of 2019. (2019). Web.
Mental health access improvement act. (2020). Web.
Petruzzelli, M. (2019). New legislation enhances Medicare mental health workforce. Web.
Raviola, G., Naslund, J. A., Smith, S. L., & Patel, V. (2019). Innovative models in mental health delivery systems: Task sharing care with non-specialist providers to close the mental health treatment gap. Current psychiatry reports, 21(44), 1-13. Web.