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Archive: September 2018

Capitol Connector
Your source for the latest updates from Capitol Hill. We translate policy into practice so you can learn how policy trends will affect your work and how best to prepare.

Congress Reaches Final Opioid Crisis Deal

September 27, 2018 | Opioid and Heroin Epidemic | Comments

Stephanie Pasternak

Policy Associate, National Council for Behavioral Health

This week, House and Senate leaders announced an agreement on legislation to address the nation’s opioid addiction crisis. The bipartisan agreement (H.R. 6) supports many National Council priorities, including expanding access to treatment, strengthening the behavioral health workforce and supporting behavioral health information technology. The package also reveals the fate of controversial measures on the Institutions for Mental Disease (IMD) rule and the privacy of substance use disorder (SUD) treatment records that Congressional lawmakers and staff have worked through over the last several weeks.

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House Passes Huge Health Spending Bill

Stephanie Pasternak

Policy Associate, National Council for Behavioral Health

On Wednesday, the House overwhelmingly passed a bipartisan “minibus” package for fiscal year 2019 Defense-Labor, Health and Human Services, Education (Labor-HHS) appropriations bills, which include funding for federal mental health and addiction programs. Notably, the bill (H.R. 6157) would increase funding for some mental health and addiction programs as well as provide around $3.8 billion to specifically to address the opioid addiction crisis. The “minibus” also included a stopgap spending measure to fund the rest of the government into early December. With the Senate having passed the bill last week, the bill now heads to President Trump, who has said that he will sign the measure by September 30th to avert a government shutdown.

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Surgeon General, SAMHSA Release Updated Report on Challenges Fighting Opioid Epidemic

Michael Petruzzelli

Manager, Policy and Advocacy, National Council for Behavioral Health

Last week, the Office of the U.S. Surgeon General and the Substance Abuse and Mental Health Services Administration (SAMHSA) released the jointly developed Spotlight on Opioids, aiming to provide an update on opioid use and amplify discussion about substance use disorders (SUD) generally. In a statement announcing the report, Health and Human Services (HHS) Secretary Alex Azar expressed support for medication-assisted treatment (MAT), while the Surgeon General and the Assistant Secretary for Mental Health and Substance Use, called out several challenges impacting efforts to curb the crisis, including persistent societal stigma, workforce shortages and a lack of workforce supports.

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Opioid Legislation Nearing Finish Line Following Passage of Senate Bill

Shelley Starkey

The Senate passed its version of a sweeping legislative package to address the opioid crisis on Monday in a 99 to 1 vote. The bipartisan Opioid Crisis Response Act (S. 2680) supports many National Council priorities, including expanding access to treatment, strengthening the behavioral health workforce and supporting behavioral health information technology. The House and Senate will now need to reconcile the differences between the two different versions of legislation to finalize a bill for the President’s signature.

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Senate Passes Massive Health and Defense Spending Bill

Stephanie Pasternak

Policy Associate, National Council for Behavioral Health

This week, the Senate overwhelmingly passed a bipartisan “minibus” package for fiscal year 2019 Defense-Labor, Health and Human Services, Education (Labor-HHS) appropriations bills, which include funding for federal mental health and addiction programs. Notably, the bill (H.R. 6157) would increase funding for some mental health and addiction programs as well as provide around $3.8 billion to specifically to address the opioid addiction crisis. With the House expected to vote on the package next week, Congress hopes to finalize the federal health care budget and avoid a government shutdown before the September 30th spending deadline.

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SAMHSA Releases National Survey on Drug Use and Health

September 20, 2018 | Addictions | Data | Mental Health | Comments

Michael Petruzzelli

Manager, Policy and Advocacy, National Council for Behavioral Health

Last week, the Substance Abuse and Mental Health Services Administration (SAMHSA) released the 2017 National Survey on Drug Use and Health (NSDUH), providing the nation with a snapshot of the ongoing opioid epidemic and mental health update across the country. The report found that 1 in 12 American adults (18.7 million) had a substance use disorder (SUD) and that 1 in 5 (46.6 million) had a mental illness. More than 8.5 million, though, were found to have both a SUD and mental illness.

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Senate Reaches Opioid Deal, Vote Delayed

Stephanie Pasternak

Policy Associate, National Council for Behavioral Health

Senate leaders have finalized a sweeping legislative package aimed at addressing the opioid epidemic, clearing the way for a Senate vote next week. The Senate had hoped to vote on the measure on Thursday, but inclement weather from Hurricane Florence caused the vote to be cancelled. The bipartisan Opioid Crisis Response Act (S. 2680) comprises more than 70 bills reported out of five Senate committees and touches on many elements of the epidemic. The bill’s provisions support many National Council priorities including expanding access to addiction treatment, strengthening the addiction treatment workforce, improving behavioral health information technology and more.

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National Council Submits Comments on Medicare Physician Fee Schedule Rule

September 13, 2018 | Medicare | Workforce | Comments

Stephanie Pasternak

Policy Associate, National Council for Behavioral Health

This week the National Council for Behavioral Health submitted comments to the Centers for Medicare and Medicaid Services (CMS) on its proposed rules for the 2019 Medicare Physician Fee Schedule (MPFS). The proposed rules update payment rates and key policies applicable to physicians and other professionals under Medicare. Among the key changes supported by the National Council were initiatives to reduce billing documentation requirements for Evaluation and Management (E/M) services, base reimbursement for office visits on the level of medical decision-making required, allow for same-day visits and create a bundled payment for the care and management of substance use disorders (SUD) in Medicare.

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