December 7, 2016

Senate Passes Landmark Mental Health Reform, New Funding for Opioid Crisis

Bill heading to President’s desk to be signed into law


Cassidy & Murphy hosted dozens of roundtables with families, professionals & advocates to craft mental health reforms



WASHINGTON— US Senator Bill Cassidy, MD (R-LA), US Senator Chris Murphy (D-CN) and co-authors of the bipartisan Mental Health Reform Act and members of the US Senate Health, Education, Labor, and Pensions (HELP) Committee, applauded Senate passage of mental health reform, funding to address the opioid and heroin crisis, and increased investments in cancer treatment and medical research. The bill, the 21st Century Cures Act, passed 94-5.


“This is the most comprehensive reform of our nation’s mental health laws in a generation, and I’m so thrilled that we drafted it and passed it with support from both Democrats and Republicans. In Connecticut, I’ve met too many people struggling with mental illness who can’t find the care they need, or can’t get their insurance company to approve the care once they find it. This bill means millions of dollars in new treatment, and it creates a pathway to a better integrated, more coordinated system for people with serious mental illness,” said Murphy. “I’m incredibly grateful for Senator Cassidy’s partnership and friendship. He brought a doctor’s knowledge and a dogged determination to our effort, and a lot of people will be better off because of it.”


“The 21st Century Cures Act marks a giant step forward in fixing our broken mental health system. It institutes comprehensive mental health care reform and makes resources available to the millions that have been previously denied treatment due to a lack of access. I want to thank all those who helped make mental health a priority in Congress, but I especially thank my colleague Senator Chris Murphy. We have been working together to fix our country’s broken mental health system since day one. Without him and the bipartisan effort he has brought to this legislation, we would not be here today. I urge the President to sign this bill and help the millions of individuals and families affected by mental health become whole,” said Dr. Cassidy.


After months of collaborating with mental health professionals, policy experts, consumers, and family members, Murphy and Cassidy introduced their bipartisan Mental Health Reform Act of 2015 to expand federal resources and improve coordination for mental health and substance abuse treatment programs. The Senators worked closely with U.S. Senators Lamar Alexander (R-TN) and Patty Murray (D-WA) to craft an updated bill, the Mental Health Reform Act of 2016, which passed the HELP Committee unanimously earlier this year. The Mental Health Reform Act of 2016 served as the basis for the mental health language included in the bill passed today.


Highlights from the bill passed today are included below. A fact sheet can be found here.


Mental Health Reforms


·         Integrates Physical and Mental Health: The bill encourages states to break down walls between physical and mental health care systems by requiring them to identify barriers to integration. States will be eligible for grants to promote integration between primary and behavioral health care for individuals with mental illness along with co-occurring physical health conditions.


·         Strengthens Transparency and Enforcement of Mental Health Parity: The bill strengthens the enforcement of existing mental health parity protections to ensure that physical and mental health are covered equally by insurers. It requires federal agencies to report on enforcement actions related to the mental health parity law and establishes an enforcement “action plan” informed by key stakeholders. It also requires the government to audit a health plan if it is found to have violated existing mental health parity laws.


·         Establishes New Programs for Early Intervention and Improves Access to Mental Health Care for Children: The bill establishes a grant program focused on intensive early intervention for infants and young children who are at risk of developing or are showing signs of mental illness. A second grant program supports pediatrician consultation with mental health teams, which has seen great success in states like Massachusetts and Connecticut. The bill also ensures that children covered by Medicaid have access to the full range of early and periodic screening, diagnostic, and treatment services.


·         Strengthens Suicide Prevention: The bill continues the National Suicide Prevention Lifeline program, and provides information and training for suicide prevention, surveillance, and intervention strategies. It reauthorizes Youth Suicide Early Intervention and Prevention Strategies grants to states and tribes, and establishes suicide prevention and intervention program grants for adults.


·         Establishes New National Mental Health Policy Laboratory: The bill establishes a new entity to fund innovation grants that identify new and effective models of care, and demonstration grants to bring effective models to scale for adults and children.


·         Reauthorizes Successful Grant Programs: The bill reauthorizes key programs like the Community Mental Health Block Grants and state-based data collection. It modernizes the mental health and substance use disorder block grants, streamlines the application process, and promotes the use of evidence-based practices within states. It continues grants to states and communities to help train teachers, emergency services personnel and others to recognize signs and symptoms of mental illness. Additionally, it reauthorizes grants to train mental health providers such as psychologists, psychiatrists, social workers and paraprofessionals.


·         Strengthens Leadership and Accountability for Federal Mental Health and Substance Use Programs: The bill creates an Assistant Secretary for Mental Health and Substance Use within the U.S. Department of Health and Human Services who will be responsible for overseeing grants and promoting best practices. The Assistant Secretary will work with other federal agencies and key stakeholders to coordinate mental health services across the federal system and help them to identify and implement effective and promising models of care. The bill also establishes a Chief Medical Officer to advise on evidence-based and promising best practices emphasizing a clinical focus.


·         Develops New Educational Materials on Privacy Protections: The bill requires HHS to develop educational materials to help patients, clinicians and family members understand when personal health information can be shared to clear up confusion.


Opioid Treatment & Prevention


·         The bill provides $1 billion over 2 years for grants targeting opioid abuse prevention and treatment activities, such as improving prescription drug monitoring programs, implementing prevention activities, training for health care providers, and expanding access to opioid treatment programs


Funding for NIH & the Cancer Moonshot


·         The bill provides over $4.8 billion over 10 years to the National Institutes of Health (NIH) for the Precision Medicine Initiative, the Brain Research Through Advancing Innovative Neurotechnologies Initiative, cancer research, and regenerative medicine using adult stem cells.


·         The bill provides $500 million to the Food and Drug Administration (FDA) over 10 years to implement provisions in Title III to move drugs and medical devices to patients more quickly, while maintaining the same standard for safety and effectiveness.