Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023
Impact
The bill is expected to have significant ramifications on state laws regarding mental health and substance use disorder treatments, particularly by facilitating states in opting to provide medical assistance to inmates diagnosed with substance use disorders. These provisions aim to ensure that individuals receiving treatment maintain their Medicaid eligibility, thus promoting continuity of care even in incarceration settings. Additionally, by establishing federally-backed financial participation for states under specific guidelines, SB3430 could encourage states to enhance their mental health care infrastructure.
Summary
SB3430, titled the 'Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023', aims to amend titles XVIII and XIX of the Social Security Act. The main objectives include expanding the mental health care workforce and services, lowering prescription drug costs, and extending certain provisions within Medicare and Medicaid programs. Specific provisions are introduced to incentivize mental health and substance use disorder services under Medicare, improve access to behavioral health care, and broaden the eligibility for related financial assistance programs.
Contention
However, a notable point of contention related to the bill involves the balance between state and federal authority in health care provision. Some stakeholders express concerns about federal overreach in state health care matters, particularly regarding mandates for Medicaid participation and service eligibility criteria. The implications for drug pricing strategies and pharmacy access, particularly for rural and underserved communities, may also lead to debates regarding the effectiveness of the proposed measures compared to existing frameworks.
Related
To amend title XVIII of the Social Security Act with respect to the work geographic index for physician payments under the Medicare program, and to revise the phase-in of clinical laboratory test payment changes under such program.
Related
To amend title XIX of the Social Security Act to include certified community behavioral health clinic services as a State plan option under the Medicaid program, and for other purposes.
Related
To amend title XVIII of the Social Security Act to require MA organizations offering network-based plans to maintain an accurate provider directory, and for other purposes.
Related
To amend title XVIII of the Social Security Act to provide for enforcement of standards for reasonable and relevant contract terms and conditions and essential retail pharmacy protections under the Medicare program.
Related
To require the Secretary of Health and Human Services to issue guidance on furnishing behavioral health services via telehealth to individuals with limited English proficiency under Medicare program.
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