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house Bill H.R. 3192

Should CHIP Plans Provide Mental Health and Substance Abuse Treatment?

Argument in favor

Mental health and substance abuse treatment are important components of health care. CHIP, as a federal health plan for pregnant women and children, should include this coverage as part of holistic care for its enrollees.

George's Opinion
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06/19/2018
If we don’t begin to get serious about treating mental health issues then we will have more tragedies occur.
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Jack's Opinion
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06/19/2018
The mental health issue in our nation is ever increasing. It is important that we actively take steps toward remedying it. Helping young people afford the care they need to get through mental illness is one such necessary step.
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JBC13's Opinion
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06/19/2018
We aren't just talking about counseling here, we're talking about actual treatment of mental disorders like depression. Last time I checked a church can't treat you for that. Also, if we're going to blame mental illness for all the mass shootings, don't you think identification and treatment of said mental illnesses should be offered to children while they are developing? Frankly, it should be required by all healthcare providers but that's another story.
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Argument opposed

Mental health systems are built at the state, rather than the federal, level. Changing the mental health coverage requirement in CHIP — a federal program — could interfere with states’ requirements.

Poli.Sci's Opinion
···
06/19/2018
I understand that children have a difficult life with the increase in bullying and the pressures society placed on them. However, there are support groups, Churches, and the biggest positive impact on children is from a well structured and healthy family who are able to talk about these sorts of things. Honestly, the support groups and Churches are already available and though America needs to reestablish a positive living environment, there is no need for funding for mental and physical health insurance for CHIP recipients. It sounds harsh, but in a realist point of view, use the programs and structures already available, stop trying to increase funding with funding we do not need or have to be spending.
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Mart's Opinion
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06/19/2018
Should be eliminated, government has no health power in Constitution
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Tooluser1's Opinion
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06/19/2018
Call me when we're willing to treat all people equally. Men are not less worthy of care than women and no one becomes less valuable as a person at 18.
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bill Progress


  • Not enacted
    The President has not signed this bill
  • The senate has not voted
      senate Committees
      Committee on Finance
  • The house Passed June 19th, 2018
    Passed by Voice Vote
      house Committees
      Committee on Energy and Commerce
      Health
    IntroducedJuly 12th, 2017

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What is House Bill H.R. 3192?

This bill would require all Children’s Health Insurance Program (CHIP) plans to cover mental health and substance abuse treatment. Additionally, it would prohibit states from imposing lower financial or utilization limits on mental health treatment than those placed on physical health treatment.

Impact

CHIP enrollees; and CHIP health plans.

Cost of House Bill H.R. 3192

The CBO estimates that this bill will have no budgetary effect, because all CHIP enrollees are already in plans that meet the mental health and substance abuse treatment requirements of this bill.

More Information

In-Depth: Sponsoring Rep. Joe Kennedy III (D-MA) introduced this bill to ensure that all pregnant women and children covered under CHIP have mental health support:

“For generations, our nation’s failure to guarantee and enforce mental health parity has left families helpless as their loved ones suffer in silence… Even in the midst of a deeply contentious health care debate, support for children and pregnant women experiencing mental illness should unite my colleagues on both sides of the aisle. As Congress considers the reauthorization of CHIP, extending the simple promise of parity to these beneficiaries must be a priority.”

The American Psychological Association Practice Organization (APAPO) supports this bill as a means to improve mental health access for the children and pregnant women enrolled in CHIP.  In addition to the APAPO, numerous organizations including the American Hospital Association and United Way authored a joint letter expressing their support for the bill.

There are 22 cosponsors of this bill, including five Republicans and 17 Democrats.


Of Note: CHIP covers 8.9 million children and pregnant women in the United States. In general, CHIP plans already include mental health coverage and substance abuse treatment; so this bill would not substantively change enrollees’ coverage. There remain, however, 5% of current CHIP plans with limited or no access to mental care — and in these cases, this bill would expand their enrollees’ coverage to include mental health and substance abuse treatment.

There is precedent for the federal government using its power to require mental health coverage in plans. Under the Affordable Care Act, plans offered through health insurance exchanges are required to cover services for mental health and substance use. Additionally, there is generally mental health coverage in private plans. In 2015, 91% of employer health plans covered mental health treatment, up from 4% in 2014. Taken together, these two facts illustrate the movement towards considering mental health and substance abuse support as part and parcel of health coverage.


Media:

Summary by  Lorelei Yang

(Photo Credit: Nikodash / iStock)

AKA

CHIP Mental Health Parity Act

Official Title

To amend title XXI of the Social Security Act to ensure access to mental health services for children under the Children's Health Insurance Program, and for other purposes.

    If we don’t begin to get serious about treating mental health issues then we will have more tragedies occur.
    Like (41)
    Follow
    Share
    The mental health issue in our nation is ever increasing. It is important that we actively take steps toward remedying it. Helping young people afford the care they need to get through mental illness is one such necessary step.
    Like (32)
    Follow
    Share
    We aren't just talking about counseling here, we're talking about actual treatment of mental disorders like depression. Last time I checked a church can't treat you for that. Also, if we're going to blame mental illness for all the mass shootings, don't you think identification and treatment of said mental illnesses should be offered to children while they are developing? Frankly, it should be required by all healthcare providers but that's another story.
    Like (31)
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    Share
    ALL medical plans should have mental health parity- including substance abuse treatment. I’m a voter in Ohio’s 12th congressional district and I support this bill.
    Like (19)
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    Why not? Mental health is health too.
    Like (18)
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    Yes, and Medicare For All would address this too. Depression and mental health issues are created by or exasperated by Conservative oppression upon the citizens. As the Conservatives take away more health benefits and make life more miserable and less opportunistic, people, including children are seeking to self medicate to find relief from the oppression and depression. Conservatism ideologies harms our children and families. Conservatism kills! Make America Great Again! Abolish conservatism.
    Like (14)
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    It’s time to do more than #prayforournation. Actions speak louder.
    Like (13)
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    Mental health is health.
    Like (11)
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    This would help curb the opioid epidemic. And we need to do everything possible to help vulnerable and addicted people.
    Like (10)
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    Everyone deserves health care.
    Like (6)
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    Treat the children for their issues. Kids treatment should not be limited. Whole body, whole mind treatment for everything that needs attention.
    Like (6)
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    Yes! Help our kids BEFORE they bring guns to school. Help our kids BEFORE they hurt themselves or commit suicide. Let’s just HELP OUR KIDS.
    Like (6)
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    mental health IS health. it’s only logical that CHIP includes it.
    Like (5)
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    Need a consultant approach across the country which can be monitored and modified as required.
    Like (5)
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    Absolutely children have mental health issues too.
    Like (4)
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    Of course
    Like (4)
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    I understand that children have a difficult life with the increase in bullying and the pressures society placed on them. However, there are support groups, Churches, and the biggest positive impact on children is from a well structured and healthy family who are able to talk about these sorts of things. Honestly, the support groups and Churches are already available and though America needs to reestablish a positive living environment, there is no need for funding for mental and physical health insurance for CHIP recipients. It sounds harsh, but in a realist point of view, use the programs and structures already available, stop trying to increase funding with funding we do not need or have to be spending.
    Like (4)
    Follow
    Share
    Mental Health is an imperative part of health care and should be included as mandatory coverage in all plans, especially for children and young adults.
    Like (3)
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    It's obvious
    Like (3)
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    Kids needs to have access to all areas of healthcare. Mental health must be included in that even if it means a higher tax rate.
    Like (3)
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