Health Care Reform

Prior to the passage of the Affordable Care Act (ACA), nearly one in five Americans receiving health insurance in the individual market had no coverage for mental health services, and an estimated 12 million individuals with mental and/or substance use disorders (MH/SUDs) lacked insurance.

Among those with employer sponsored health insurance, 2% had coverage that entirely excluded mental health benefits and 7% had coverage that entirely excluded substance use benefits. For those who had insurance, annual and lifetime caps limited benefits and raised the risk of bankruptcy and other financial hardships due to the costs of uncompensated care for mental health issues.

As efforts are made to reform the health system, Americans with MH/SUDs and their families need these improvements to be preserved and built upon to improve access to quality treatment. Without fully addressing these issues, we cannot drive down the cost of health care.

As lawmakers continue to debate healthcare reform proposals, APA is committed to advocate to ensure that legislative efforts help to decrease the stigma surrounding MH/SUDs and reduced barriers to care, including patients' lack of coverage, gaps in treatment in primary care, and the fragmented mental health system.

Recent Healthcare Reform History

APA's Public Comments and Letters


APA Supports Telemental Health Expansion Act to Expand Access to Telepsychiatry

FEB 4, 2020

APA Supports CONNECT for Health Act to Expand Access to Telepsychiatry

FEB 3, 2020

APA Supports EASE Behavioral Health Services Act to Expand Access to Telepsychiatry

JAN 17, 2020

APA and Mental Health Groups Praise the Primary and Behavioral Health Care Access Act

DEC 11, 2019

APA Supports Legislation Allowing Patients to Override Unnecessary or Harmful Step Therapy Protocols

DEC 3, 2019

APA Responds to Georgia's 1332 and 1115 Waiver Requests

OCT 18, 2019

APA and TPA Oppose Tennessee's Proposed Medicaid Block Grant

SEP 13, 2019

Frontline Physicians Oppose Proposal to Weaken Medicaid Provider Rate Oversight Requirements

JUL 16, 2019

Coalition Letter to the House Energy & Commerce Committee Concerning the No Surprise Act

JUL 9, 2019

APA Letter to Rep. Ruiz in Support of the Safe Step Act

APR 3, 2019

APA Letter to House E&C Committee in Support of Several Legislative Proposals to Strengthen the ACA

MAR 20, 2019

APA signs Mental Health Liaison Group letter to Rep. Napolitano & Katko supporting the Mental Health Services for Students Act

FEB 28, 2019

APA Responds to Sentate HELP Inquiry on Stabilizing Health Care Costs

JAN 22, 2019

APA Letter to South Carolina Concerning Medicaid 1115 Waiver

OCT 21, 2018

APA Opposes Work Requirements in Alabama's Medicaid Waiver