文摘
Repealing the Affordable Care Act (ACA) could undo the gains of the Cures Act, which gave $200 million to serious mental disorders and $1 billion to opioid use disorder treatment over the next two fiscal years, and go even farther, taking billions away from treatment for substance use disorders and mental illnesses in years to come. The ACA, which builds upon the Mental Health Parity and Addictions Equity Act (MHPAEA), gave many people health insurance who didn't have it before, either through Medicaid expansion or subsidies of marketplace plans. Without the protections of the ACA, insurance companies could also single out people with pre-existing conditions to deny coverage. Rolling back the ACA will mean many people with mental illness and SUDs will end up in prison and jail instead of treatment, wrote Richard G. Frank, Ph.D., and Sherry Glied, Ph.D. in The Hill January 11. Frank was formerly the Assistant Secretary for Planning and Evaluation at the Department of Health and Human Services, where he shepherded many initiatives through the regulatory process.