Fact Sheet: Mental Health Care and the Affordable Care Act

Timothy Jost, “House Passes AHCA: How It Happened, What It Would Do, And Its Uncertain Senate Future,” Health Affairs Blog , May 4, 2017.

Billy Wynne, “Five Lessons From The AHCA’s Demise,” Health Affairs Blog, March 27, 2017.

Timothy Jost, “Eye on Health Reform: First Steps of Repeal, Replace, and Repair,” Health Affairs, March 2017 vol. 36 no. 3 398-399.

Barack H. Obama, J.D., “Repealing the ACA without a Replacement — The Risks to American Health Care,” NEJM, January 26, 2017; 376:297-299.

Sara Rosenbaum. “The Unfolding Medicaid Story: Congress, Governors, and the Trump Administration” Health Affairs Blog, March 20, 2017.

• 1. Estimate based on the US Census Bureau’s 2011 American Communities Survey.
• 2. Garfield RL, Lave JR, Donahue JM, “Health reform and the scope of benefits for mental health and substance use disorder services.” Psychiatric Services, 61:1081-1086 (2010).
• 3. "Essential Health Benefits: Individual Market Coverage," ASPE Issue Brief, Washington, DC: U.S. Department of Health & Human Services, 2011.
• 4. Ibid.
• 5. Kirsten Beronio, Rosa Po, Laura Skopec, & Sherry Glied, “Affordable Care Act Will Expand Mental Health and Substance Use Disorder Benefits and Parity Protections for 62 Million Americans,” ASPE Issue Brief, Washington, DC: U.S. Department of Health & Human Services, February 20, 2013.
• 6.Ibid.
• 7.Ibid.
• 8. "Health Insurance Coverage for Americans with Pre-Existing Conditions: The Impact of the Affordable Care Act,” ASPE Issue Brief, Washington, DC: U.S. Department of Health & Human Services, January 5, 2017.
• 9.Ibid.
• 10. Beronio, et al. February 20, 2013.
• 11.Ibid.
• 12. “Centers for Medicare and Medicaid Services. Medicaid & CHIP: August 2016 Monthly Applications, Eligibility Determinations and Enrollment Report.” November 3, 2016.
• 13.“December 2016 Medicaid and CHIP Enrollment Data Highlights” Medicaid.gov
• 14.Ibid.
• 15. Sara Rosenbaum, “The Unfolding Medicaid Story: Congress, Governors, and the Trump Administration,” Health Affairs Blog, March 20, 2017.
• 16.Ibid.
• 17. Baicker & Finkelstein, 2011. “The Effects of Medicaid Coverage – Learning from the Oregon Experiment.” NEJM 365:683-685. Sommers et al., July 28, 2015; “Changes in Self-reported Insurance Coverage, Access to Care, and Health Under the Affordable Care Act.” JAMA, 314(4): 366-74.
• 18. Richard Frank, “How do we Finish the Job that the Comprehensive Addiction and Recovery Act Started?” Health Affairs Blog, September 12, 2016.
• 19. National Conference of State Legislators. Individual Health Insurance and States: Chronologies of Change.
• 20. Wen et al., December 2015.”Effect of Medicaid expansions on health insurance coverage and access to care among low-income adults with behavioral health conditions,” Health Serv Res , 50(6): 1787-809.
• 21. Wen et al., December 2013. "State parity laws and access to treatment for substance use disorder in the United States: implications for federal parity legislation,” JAMA Psychiatry , 70(12): 1355-62. 22. Blumberg et al., December 6, 2016. “ Implications of Partial Repeal of the ACA through Reconciliation .”
• 22.
• 23. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Unintentional Injury Prevention, December 16, 2016. Drug Overdose Death Data.
• 24. Blumberg LJ, Buettgens M, Holahan J., ”Implications of partial repeal of the ACA through reconciliation,” Washington, DC: Urban Institute, 2016.
• 25. “The Budget and Economic Outlook: 2017 to 2027,” Congressional Budget Office, January 24, 2017.

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