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Medicare Mental Health Parity Bill Approved by Senate 69 to 30, by Mary Neal
Bazelon Center for Mental Health Law Thursday, July 10, 2008, 12:18 PM http://www.bazelon.org/...008/7-10-08Medicare.htm MEDICARE MENTAL HEALTH PARITY APPROVEDJust a few days after reconvening from the July recess, the Senate joined the House in passing the Medicare Improvements for Patients and Providers Act of 2008 (H.R. 6331) by a veto-proof 69-30. Less-publicized than the provision that would halt a payment cut for physicians providing treatment to Medicare patients is new equity between mental health and medical coverage.
When enacted, the bill will end a longstanding requirement that affects Medicare beneficiaries who need outpatient mental health services. Currently, they face a discriminatory 50% co-insurance for outpatient psychotherapy and services furnished by non-physician mental health professionals (20% for prescription and monitoring of medications to treat mental illness). In contrast, other outpatient health services require only a 20% co-payment.
The present outdated and unfair higher co-payment for mental health services has served as an incentive to use inpatient or institutional care instead of outpatient services. It has also led seniors and people with disabilities who rely on Medicare to forgo needed mental health treatment.
The bill would establish mental health parity within the Medicare program, phasing in a reduction of the higher co-payment over six years, to 20% in 2014.
The passage of H.R. 6331 is a significant accomplishment and makes great strides in modernizing Medicare. A thank-you call, email or letter to your Senators would be welcomed. See how they voted on H.R. 6331 and How to ContactYour Lawmakers.http://www.senate.gov/...session=2&vote=00169
The House passed H.R. 6331 by a vote of 355-59 on June 24th. The overwhelming majority in both chambers makes a veto override likely, should the Administration carry out its earlier threat.
For more information please see the summary of H.R. 6331 provided by the House Ways and Means Committee.Donate online today! http://www.bazelon.org/support
CONGRATULATIONS to mental health advocates who have worked so hard for this legislation!
THANK YOU REPRESENTATIVES FOR RESPONSIBLE GOVERNMENT, including both my senators from Georgia, Senator Saxby Chambliss and Senator Isakson. Thank you, also, Congressman Johnson, for your support for the mentally ill.
WASHINGTON ROCKS! We solute all our representatives who decided to take a stand for justice and render assistance to the least of these, His brethren. Soon, homelessness, jail, and death may cease to be America 's answer to mental illness!
God bless America !
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July 11, 2008 UPDATE
I understood from Bazelon's article posted above that H.R. 6331 is veto-proof. But it would appear from the letter I received from the AARP that support is needed from those committed to human rights. See the letter below, and please help with this important legislation.
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Dear Activist,
Scene opens. The Senate floor. A surprise visitor walks in to thunderous applause
Sen. Edward Kennedy returned to the Senate chamber for the first time since surgery for a malignant brain tumor to cast a vote on a "Keep Medicare Fair" bill. A vote along party lines had stalled the bill a few weeks back. This time it passed with a huge bipartisan majority.
Amazing, right? It's almost got the makings of a Hollywood blockbuster
And like any great movie, it's got a final cliffhanger: President George W. Bush is threatening to veto this critical legislation!
The legislation that the Senate passed today would:
- Ensure that Medicare patients continue to have access to care ;
- Improve prevention coverage and services;
- Improve low-income protections ; and
- Provide improved coverage for mental health services.
As you read this, President Bush is likely hearing from the same folks that worked against Medicare recipients and doctors in the Medicare program during the Keep Medicare Fair campaign. That's why he must hear from ALL OF US immediately!
Once you have sent your urgent message to President Bush, please help us get more messages in to the White House by forwarding this email to your friends and family.
Thank you in advance for your help. I know that together we can Keep Medicare Fair!
Sincerely,
Barry Jackson, Online Advocacy Manager
AARP
Mary Neal
Assistance to the Incarcerated Mentally Ill
Website: http://wrongfuldeathoflarryneal.com
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duo
Stone Mountain, Georgia, United States








Most RecentMost Recommended Comments (8)
at 08:16 on July 22nd, 2008
duo, I like this story. It's good stuff.
at 10:28 on July 22nd, 2008
Thanks for the flag. Senior citizens and persons with mental dysfunctions and the doctors who treat them are big winners under this much needed legislation.
When our representatives overcome disputes along party lines in order to do something positive for Americans, despite President Bush's displeasure, that's good news that folks need to know about.
at 21:30 on July 30th, 2008
Together we fight the battle for awareness. Nice update for all of us. thanks
at 23:04 on July 30th, 2008
Thanks, Mabone. Your comment serves to remind me to check and see if President Bush gave up the idea to veto this important legislation. Keep checking back for possible updates on any of the stories I write. I try to see that any new developments are posted as they become known.
at 21:33 on July 30th, 2008
mental illness is many times poorly diagnosed. The trigger for such conditions is still a mystery.
at 23:09 on July 30th, 2008
Thanks for the flag, Mabone! You are right about the diagnosis issue. See my article on NowPublic entitled "Enforced Treatment vs. Prison for Acute Mental Patients" at this link:
http://search.yahoo.com/search?ei=utf-8&fr=slv8-grpj&p=enforced%20treatment%20vs.%20Prison%20for%20acute&type=
There is a radio show with a noted Howard Medical School professor and psychiatrist who addressed the problem of proper diagnosis as it pertains to African Americans.
We appreciate your interest in mental health care. With one out of five Americans enduring some form of mental or emotional dysfunction, everyone should be concerned about this issue.
Mary
at 10:53 on August 26th, 2008
hi
i like your posting.
Its NIce.
Bye.
Georgia Alcohol Addiction Treatment
at 12:02 on November 11th, 2008
Thank you, Susan. Although there is much to be done in this area, we have made significant progress in the interest of persons with mental dysfunctions. The Medicare Mental Health Equity Act (H.R. 6331) is significant in that it demonstrates our lawmakers’ commitment to work together on this health issue.
Other encouraging news is offered below:
(i) A report by USA Today that as of Spring 2008, judges in 10 of the nation's 11 largest cities have declared 50% more defendants incompetent to stand trial than in preceding years. As more judges opt not to criminally prosecute mentally challenged defendants, I hope states will respond by providing adequate mental health facilities and programs and discontinue using our prison system to warehouse such citizens.
(ii) Mentally challenged Americans and their families can be very pleased that Senator Joseph Biden has agreed to become Senator Obama's running mate on the Democratic ticket. Senator Biden is committed to improving the nation's mental health care system and co-sponsored the Paul Wellstone Mental Health Equity and Addiction Act. Read about it here: http://themiddleclass.org/bill/paul-wellstone-mental-health-and-addiction-equity-act-2008
(iii) A new organization, Assistance to the Incarcerated Mentally Ill, advocates to decriminalize mental illness in America, where we currently have 1.25 million imprisoned mental patients. AIMI believes that most mental patients in prison are jailed because of their mental disabilities. See more about it here: http://www.care2.com/c2c/group/AIMI
Other articles on the subject can be found here:http://my.nowpublic.com/search?fulltext=1&type=story&keys=mary+neal
I sincerely appreciate your comments, Susan. Please let me know if AIMI is able to assist Georgia Alcohol Addition Treatment in any way. We are aware that many persons become addicted to drugs and alcohol because of their efforts to self-medicate for emotional and mental problems. Some may have done so in order to avoid the stigma associated with mental illness. AIMI works to overcome that stigma by raising public consciousness through the efforts of a coalition of persons who care about the human and civil rights of diffabled persons.
I hope to hear from you again.
Mary Neal