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why did trump loosen restrictions on mental health treatment

by Ms. Sallie Kshlerin MD Published 3 years ago Updated 2 years ago

How will President Trump's policies affect mental health care?

Nov 13, 2018 · Trump administration loosens restrictions on mental health treatment. The Trump administration is loosening restrictions to allow states to …

Is Trump focusing on mental illness to avoid banning weapons?

The Mental Health Parity and Addiction Equity Act passed in 2008 mandated that employer plans would cover medical and mental health or substance abuse services equally. The ACA also expanded that law to many people on Medicaid, ultimately covering mental health services for more than 30 million people. Unfortunately, Trump’s new American Health Care Act would take …

What does Trump’s campaign website say about mental health?

Feb 28, 2017 · People with serious mental illness like bipolar disorder, major depressive disorder and schizophrenia are some of the most vulnerable in society and some of the least able to afford expensive mental health care. They are also some of the most likely to be devastated by the repeal of the Affordable Care Act (ACA, Obamacare) and other health care policy changes the …

Did Trump overturn a mental health rule on gun purchase?

Reduces funding for the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Mental Health and Substance Abuse Treatment Programs of Regional and National Significance by ~$600 million. Discontinues funding for the Screening, Brief Intervention, and Referral to Treatment program.

How many people are losing mental health care?

As a result of this, 1.28 million people currently receiving mental health care through Medicaid will be threatened with losing these services. The new healthcare plan proposed by the Trump Administration could cause problems for those in need of treatment for substance abuse problems including the millions of Americans addicted to opiates.

What is the Trump administration doing to the mental health system?

President Trump and his administration have made it a mission to overhaul our current healthcare system and eradicate “Obamacare” which they believe was inefficient and problematic. Their new healthcare plan has passed the house but is still being considered by the senate and has not yet been voted ...

What is the expectation of Trump's healthcare plan?

The expectation of Trump’s healthcare plan is that many Americans will lose their healthcare coverage through federal programs like Medicaid which will be dramatically reduced under the new bill. Unfortunately for many people in need, the new healthcare plan will slash much of the resources that the Affordable Care Act had made more available ...

What does it mean to repeal Obamacare?

Repealing Obamacare for many demographics will mean that they can no longer afford healthcare and will not be covered for medical or mental health services. Those with mental health issues will be among those who are most affected by the change, especially the many Americans who received care through Medicaid.

How does the new American Health Care Act take away Medicaid?

Unfortunately, Trump’s new American Health Care Act would take away most of this coverage by cutting Medicaid expansion and reducing funding for low income adults. It would also allow states more flexibility to avoid parity rules and reinstate many of the old barriers for mental health care.

When did the Mental Health Parity and Addiction Equity Act pass?

The Mental Health Parity and Addiction Equity Act passed in 2008 mandated that employer plans would cover medical and mental health or substance abuse services equally. The ACA also expanded that law to many people on Medicaid, ultimately covering mental health services for more than 30 million people. Unfortunately, Trump’s new American Health ...

What was the health care system before the Affordable Care Act?

Prior to the Affordable Care Act, most people with little income were ineligible for public insurance through Medicaid. Even those with lower middle class incomes who simply had inadequate insurance were unable to receive coverage for mental health until the ACA made significant expansions.

Why was the ACA important?

The ACA was also instrumental in getting health care for those with mental illness as it made mental and substance abuse disorder services an “ essential health benefit ” and insurance companies couldn’t sell Obamacare without this one-of-10 essential service. The ACA ensured that psychiatric illnesses were treated the same as a non-psychiatric ...

What was the ACA?

The ACA ensured that psychiatric illnesses were treated the same as a non-psychiatric illnesses such as cancer. Before the Affordable Care Act, health insurance providers often carved mental health care out of individual coverage treating it in a unique way. This left people with mental illnesses or substance abuse problems with unrealistic annual ...

What is the problem with high risk pools?

The trouble with high-risk pools is that while the plans tend to be similar to individual insurance policies, they often have had waiting lists, higher premiums and large deductibles that people, like those with serious mental illness, can’t afford.

What is the repeal of the ACA?

In a letter to President Trump, the American Psychological Association and the American Psychological Association Practice Organization said that a repeal of the ACA that doesn’t include a replacement that protects Americans with mental illness puts millions of American lives in danger.

What mental health issues are most vulnerable to Trump?

People with serious mental illness like bipolar disorder, major depressive disorder and schizophrenia are some of the most vulnerable in society and some of the least able to afford expensive mental health care.

What will happen to mental health under Trump?

Mental Health Care In A Trump Administration Devastates The Mentally Ill. Under Trump’s health care plan, those with serious mental illness who can’t get insurance may have to go back to using emergency rooms for care. Many people are worried about what might happen to mental health care under a President Trump administration.

Who is Tom Price?

Tom Price, President Trump’s pick for Health Secretary, has said that insurers need only insure pre-existing conditions for individuals who have had coverage for the last year and a half. Those who do not meet this criteria could be charged up to 150 percent of the standard rate for two years. Additionally, Price may use high-risk pools ...

Which is the largest payer for behavioral health services?

Medicaid and Medicare are currently the largest payers of behavioral health services in the country. For Medicare, proposes to test and expand nationwide a bundled payment for community-based medication assisted treatment, including, for the first time, comprehensive Medicare reimbursement for methadone treatment.

How much is the HHS budget for 2019?

The Fiscal Year 2019 budget. (link is external) requests $68.4 billion for the Department of Health and Human Services (HHS) (link is external) , which is a $17.9 billion (or 21 percent) decrease from the 2017 enacted level. And the budget:

Is the President's budget a request to Congress?

And though Congress is not bound by the President’s budget - the House and Senate agree to their own separate budget deal - the President’s budget is a request to Congress that highlights the Administration’s priorities.

How much did Kaiser cut from Medicaid?

In March, he proposed slashing almost $1.5 trillion from projected Medicaid spending. The Kaiser Family Foundation said that in 2015, Medicaid "covered 22 percent of non-elderly adults with mental illness and 26 percent of non-elderly adults with serious mental illness.".

Is Medicaid the most important part of the conversation about mental health?

Medicaid is "the most critical part of any conversation about mental health care," Jennifer Snow, the acting National Director of Advocacy and Public Policy at the National Alliance for Mental Illness, told Newsweek. "It's the nation's largest payer for mental health and substance abuse services.". The Trump administration has also permitted states ...

Does Trump's ACA expansion affect mental health?

Additionally, Trump has proposed provisions that undermine some of the significant expansions of the Affordable Care Act (ACA). His push to enhance short-term limited duration plans, which often don't provide cover for mental health illnesses, can impact mental health coverage that was improved by the ACA's expansion of Medicaid.

What did Trump say about the shootings in Dayton, Ohio?

President Donald Trump responded to the El Paso and Dayton mass shootings by insisting Monday that “mental illness pulls the trigger not the gun,” but shortly after taking office he quietly rolled back an Obama-era regulation that would have made it harder ...

How many names were added to the background check?

Had that rule taken effect, the Obama administration predicted it would have added 75,000 names to the national background check database.

What does the National Rifle Association say?

In a statement, the National Rifle Association said it "welcomes the President's call to address the root causes of the horrific acts of violence that have occurred in our country.".

Did Trump make it easier for the mentally ill to get guns?

In 2017, Trump quietly rolled back an Obama-era regulation that made it harder for people with mental illness to buy guns. Tap to Unmute.

Did the NRA infringe on the Second Amendment?

But two years ago, the NRA insisted the Obama rule infringed on Second Amendment rights to buy guns, even though the regulation specifically targeted people who were diagnosed with mental illness. The NRA “applauded” Trump’s action at the time and then-executive director Chris Cox said the move “marks a new era for law-abiding gun owners, ...

Who said the gun rule went too far?

Pressed by NBC News why Trump nullified the rule, White House spokesman Judd Deere said Tuesday: “This was a wide-ranging regulation promulgated in the 11th hour of the previous administration that included all kinds of people with disabilities who are more than capable of owning a firearm. The rule went too far.”.

Who sponsored the HJ Res 40?

Res 40, which revoked the Obama-era regulation. The bill was sponsored by Rep. Sam Johnson, a Texas Republican who retired at the end of 2018.

What is the new issue brief?

A new issue brief examines where President Trump and Democratic presidential nominee Joe Biden stand on key aspects of the nation’s mental health and substance use challenges. Key points include:

How many indicators does KFF have?

KFF also has compiled state-specific data on mental health and substance use on more than 20 indicators, with mental health state fact sheets available profiling each state, as well as an updated look at how the COVID-19 pandemic is affecting Americans’ mental health.

What is the biden plan for 2021?

However, President Trump’s 2021 budget proposal includes a 24% increase for behavior health workforce development programs, and Vice President Biden’s education plan would double the number of psychologists, counselors and other mental health professionals in schools.

What is Trump's plan for 2021?

Neither candidate specifically addresses mental health workforce shortages on their campaign websites. However, President Trump’s 2021 budget proposal includes a 24% increase for behavior health ...

Why is mental health so bad in 2020?

Amid the coronavirus pandemic, half of Americans report that their mental health has been negatively impacted due to related stress and worry. Many are, or will be, struggling with mental health challenges due to anxiety, social isolation, loss of loved ones, and job losses – potentially leading to increased mental health ...

Is there a national health emergency in 2021?

President Trump declared a national public health emergency in 2017 and has renewed it repeatedly since then. His proposed 2021 budget would decrease total funding to the Substance Abuse and Mental Health Services Administration and to Medicaid, the nation’s largest payer for mental health services and main contributor for substance use disorder ...

How many people did the Virginia Tech killer kill?

A Virginia court had ruled the Virginia Tech killer a danger to himself, but the state hadn't submitted his case to NICS before he was able to buy firearms and fatally shoot 32 people in April 2007. Even with the law, the data submitted often was incomplete.

Where is the AR-15 store?

A prospective buyer examines an AR-15 at the Ready Gunner store in Provo, Utah, on June 21. Both the House and the Senate have voted to revoke an Obama administration gun regulation that limits certain Social Security recipients’ access to firearms. George Frey/Reuters

Who voted for the repeal of the gun control bill?

The repeal is a significant step for gun advocates. The GOP-controlled Senate in mid-February voted in favor of revoking the resolution, 57-43. Democratic Senators Joe Donnelly (Indiana), Heidi Heitkamp (North Dakota), Joe Manchin (West Virginia) and Jon Tester (Montana), along with independent Senator Angus King (Maine), voted with the Republicans.

Can someone who can't deposit their own paycheck own a gun?

The risk is that someone who can't literally deposit their own paycheck probably can't, or likely can't, responsibly own and protect a gun.". Earlier in February, the House moved forward with the measure by a 235-180 vote. Trump's repeal also reverses the SSA rule on reporting possibly dangerous individuals to NICS.

Is there a connection between being mentally ill and being dangerous?

"It is correct to state that there is no inherent connection between being mentally ill and being dangerous," Senator Chris Murphy (D-Conn.) said on the chamber floor at the time of the vote. "But the risk here is not just that an individual is going to buy a gun and use it themselves. The risk is that someone who can't literally deposit their own paycheck probably can't, or likely can't, responsibly own and protect a gun."

What did the original gun control rule infringe on?

The original rule was hotly contested by gun rights advocates who said it infringed on Americans’ Second Amendment rights. Gun control advocates, however, praised the rule for curbing the availability of firearms to those who may not use them with the right intentions.

How many names were added to the background check?

Had the rule fully taken effect, the Obama administration predicted it would have added about 75,000 names to that database.

What did Obama recommend after the Sandy Hook shooting?

The measure sought to block some people with severe mental health problems from buying guns.

Who is the President of Everytown for Gun Safety?

Everytown For Gun Safety President John Feinblatt said he expected more gun control rollbacks from the Trump administration. In a statement to NBC News, he called the action "just the first item on the gun lobby’s wish list" and accused the National Rifle Association of "pushing more guns, for more people, in more places.".

Did Trump sign the bill into law?

Trump signed the bill into law without a photo op or fanfare. The president welcomed cameras into the oval office Tuesday for the signing of other executive orders and bills. News that the president signed the bill was tucked at the bottom of a White House email alerting press to other legislation signed by the president.

Who is the NRA executive director?

The National Rifle Association “applauded” Trump’s action. Chris Cox , NRA-ILA executive director, said the move “marks a new era for law-abiding gun owners, as we now have a president who respects and supports our arms.”.

What is the Obama rule on buying guns?

The Obama administration’s rule, which took effect two days before Trump’s inauguration, restricted people who required help managing government benefits and had a mental impairment from buying guns. That includes those with eating disorders, cognitive impairments and depression.

When did Biden speak at the White House?

Here's why. President Joe Biden speaks about the nation's economic recovery amid the COVID-19 pandemic in the State Dining Room of the White House on July 19, 2021 in Washington, DC. WASHINGTON, DC - AUGUST 05: U.S. President Donald Trump makes remarks in the Diplomatic Reception Room of the White House as Vice President Mike Pence looks on August ...

Does Trump make it easier for mental health patients to access firearms?

Mental impairment is a complex issue, and claiming that Trump made it easier for those with a mental illness to access firearms is an overstatement that ignores what the regulation did and who it affected.

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