On January 2, 2013, vital programs that benefit all Americans, including mental health and social service programs, will face devastating, across-the-board cuts of between 8 and 11 percent through an arcane budget tool known as "sequestration"—unless Congress acts to prevent them.
The cuts are required under The Budget Control Act of 2011, which had directed a “Super Committee” to find $1.2 trillion in savings over 10 years in both defense and non-defense discretionary spending. Because the committee failed to reach a deal, the automatic cuts are scheduled to be triggered at the beginning of the year.
These mandatory cuts will have a devastating impact on mental health and substance use programs and services and related public health programs that are supported by the Substance Abuse and Mental Health Services Administration, the National Institutes of Health, the Centers for Disease Control and other key agencies. A Mental Health America report on the sequestration details how these indiscriminate cuts would harm individuals living with mental health and substance use conditions.
The party conventions are now over and the campaigns are in full swing. So where do the candidates stand on mental health? And how do new voting laws affect your ability to register to vote and cast a ballot?
With all the changes happening at the state and federal level, it’s more important than ever for the mental health community to be involved in this year’s election. We’ve prepared a special Voter Guide to ensure that people with mental health and substance use conditions feel empowered and able to vote; to make candidates at the federal, state, and local levels respond to the concerns of the mental health community; and to encourage all voters to ultimately Vote for America’s Mental Health in 2012.
You will find voter registration information, questions for town halls and candidate forums, talking points and sample letters to the editors, social media tips, and helpful websites and additional resources.
We hope you will use this guide in the weeks ahead to be informed, get involved and Vote for America’s Mental Health in 2012.
This Friday marks the two-year anniversary of the passage of the health reform law (the Affordable Care Act) and next week the Supreme Court of the United States will hear arguments on whether it is constitutional, with a ruling expected early this summer.
The success of health reform is critical to the future of millions of Americans living with mental health and substance use conditions who are helped by the law’s expansion of access to treatment.
Capitol Hill Day is one of Mental Health America's most important annual events. Every year, hundreds of affiliates and advocates join forces to ensure that our voice is heard by Senators and Representatives on issues that are critical to the mental health and addiction communities.
Mental Health America's Capitol Hill Day has traditionally kicked off our annual conference, which is usually held in June.
This year, partly in response to your suggestions, Mental Health America's annual conference will take place in Tulsa, Oklahoma, September 19-21. Because we are committed to Capitol Hill Day, we are joining with the National Council for Community Behavioral Healthcare to continue our long-held tradition of highlighting our presence and issues on Capitol Hill!
In the early hours of Saturday, March 10th, the Indiana General Assembly adjourned "Sine Die". "Sine Die" is Latin for "without a day" and when the Indiana General Assembly adjourns Sine Die, it means without assigning another day for a meeting or hearing.
The members--and the lobbyists--of the 2012 Indiana General Assembly were certainly ready for a day without a meeting or hearing. As has been well-documented, the 2012 Session has been a difficult one, with gut-wrenching issues that have caused legislative exhaustion and a desire for an early adjournment. Even though there were additional days left on the calendar, Leadership had hoped to end the Session on March 9th, but in the end, it went well past midnight and into the next morning. While it has been difficult--and many would say that the Legislature failed to focus on the state's truly critical issues, Mental Health America worked diligently to make significant strides forward. Significant legislation on MHAI's agenda did pass, while Legislators pushed others into Summer Study Committees. There will be much on MHAI's plate in the upcoming Summer Interim.
Read more...Senators Lawson and Simpson bring forward SB 24 as recommended by the Indiana Mental Health Commission. This bill would make a number of technical changes to the mental health statute, but most notably would combine what are now the DMHA Advisory Council and the DMHA Block Grant Committee. This new Council, the Mental Health and Addiction Planning and Advisory Council, would be initially chaired by MHAI's CEO Steve McCaffrey and would provide DMHA with critical input and expertise from stakeholders important to DMHA. The bill now moves to the House, where it will be sponsored by Representatives Noe, Charlie Brown and Tim Brown. MHAI is in support.
Senator Grooms brings SB 334 regarding prescription drugs, which among other things would require the Health Finance Commission to study the issue of specialty tier pricing of prescription medications. Some insurance policies place expensive medications for chronic conditions on a "4th tier," where the charge to the patient can be exorbitant, throwing the individual into Medicaid Spend Down or preventing access to the medication altogether. Under this bill, the Health Finance Commission will make recommendations regarding the effects of these specialty tiers as well as caps that can be used to contain costs to the patient. The bill now moves to the House and will be carried by Representative Davisson. MHAI is in support.
Representatives Turner and Charlie Brown have again offered the Smoking Ban bill. The bill that passed the House is a comprehensive ban with exemptions, including gaming facilities, cigar and hookah bars, tobacco stores, and private clubs if the membership votes to allow smoking. Bars are subject to the ban, but have an 18 month grace period to prepare for the ban. While the bill has passed out of the House five times, it has never been considered on the floor of the Indiana Senate, but that seems likely this year. Senators Gard and Alting will carry the bill in the Senate. The Governor has endorsed the most comprehensive smoking ban possible and MHAI supports a comprehensive ban as well. MHAI is in support.
The Pew Initiative was one of the Governor's priorities last year and was, among other things, an effort to make criminal penalties for drug offenses more appropriate as they compare to violent offenses. The savings that would result from these changes would be put into a forensic treatment fund and used for individuals with substance abuse and co-occurring disorders in the criminal justice system. Representative Foley has taken pieces of this effort and put them into HB 1011. Critical to this bill is the Forensic Treatment Fund, although it will require funding in the Budget Bill next Session. Senator Bray will carry the bill in the Senate. MHAI is in support.
Requires the office of the secretary of family and social services to develop and establish a pilot program in three counties to test for the use of controlled substances under certain conditions by an individual who: (1) receives assistance under the Temporary Assistance for Needy Families program for the individual or on behalf of a child; and (2) is at least 18 years of age. Requires the office of the secretary of family and social services to notify the department of child services (department) if a child is ineligible for assistance as a result of an individual testing positive for the illegal use of a controlled substance. Requires the department, not later than nine months after the date the department receives the report, to conduct a home visit at the child's residence to determine whether to pursue the report as a report of suspected child abuse or neglect.
Date Action 02/01/2012 S: 1st Reading Assigned Health and Provider ServicesProvides that the cap on the fees for program services provided to a person participating in a court established alcohol and drug services program does not apply to fees for education or treatment and rehabilitation services. Provides that a person may participate in a problem solving court program as a condition of an informal adjustment program in a child in need of services proceeding. Eliminates an individual's agreement to the conditions of participation in the program if the case for which the individual is referred to the problem solving court involves a nonsuspendible sentence as a precondition to the placement of the individual in a problem solving court program. Allows a problem solving court to collect program fees.
Makes certain changes concerning the requirements for the alcohol and tobacco commission (commission) in maintaining the registry of all retailer's and dealer's permits. Removes and repeals certain provisions concerning residency requirements for alcoholic beverage retailer's and dealer's permits and liquor wholesaler's permits. Prohibits the commission from issuing any permit to foreign corporations, limited liability partnerships, or limited liability companies not qualified to do business in Indiana. (Current law prohibits the commission from issuing certain permits to foreign corporations, limited liability partnerships, or limited liability companies not qualified to do business in Indiana.) Allows the commission to issue an order directing a holder of an alcoholic beverage permit to cease and desist in: (1) the manufacturing, rectifying, distributing, transporting, or selling of; or (2) otherwise dealing in; an alcoholic beverage that the commission reasonably believes has a dangerously harmful effect on the health or well-being of individuals who consume the alcoholic beverage. Allows the permittee to: (1) request a hearing regarding the commission's determination that the alcoholic beverage is harmful; and (2) seek judicial review of the final action by the commission. Allows the commission to fine, suspend, or revoke the permit of a permittee who violates a cease and desist order issued under this provision. Makes conforming changes.
Date Action 02/01/2012 S: 1st Reading Assigned Public PolicyReestablishes the office of the secretary of family and social services and other divisions and offices within FSSA. (The introduced version of this bill was prepared by the health finance commission.)
Date Action 01/31/2012 S: Co Sponsor Added Tim BrownPermits a court to order an individual to be transported to an appropriate facility for a preliminary medical and psychological evaluation if the court has reasonable grounds to believe that the individual has a mental illness, is dangerous, and is in immediate need of hospitalization and treatment. Specifies that such an individual may not be transported to a state institution.
Date Action 01/31/2012 H: 1st Reading Assigned JudiciaryProhibits a law enforcement officer from taking a person into custody for a crime of public intoxication or minor possession, consumption, or transportation of an alcoholic beverage if the officer, after making a reasonable determination and considering the facts and surrounding circumstances, reasonably believes that: (1) the officer has contact with the person because the person requested emergency medical assistance, or acted in concert with another person who requested emergency medical assistance, for an individual who reasonably appeared in need of medical assistance due to alcohol consumption; and (2) the person meets other requirements. Provides that a person meeting these conditions is immune from criminal prosecution for public intoxication or minor possession, consumption, or transportation of an alcoholic beverage. Requires a prosecuting attorney to withhold prosecution for public intoxication or minor possession, consumption, or transportation of an alcoholic beverage against a person who: (1) received medical assistance due to alcohol consumption in response to a request for medical assistance by another person; (2) agrees to a pretrial diversion program in which the person, not later than 90 days after the initial hearing, completes an alcohol education program and 20 hours of community service; and (3) has not had two prosecutions previously withheld under the pretrial diversion program. Establishes requirements concerning the pretrial diversion program.
Date Action 01/31/2012 H: 1st Reading Assigned Courts and Criminal CodeRequires the department of child services (department) to conduct a criminal history check of certain individuals before reunification of a child with the child's parent, guardian, or custodian. Provides that an audio recording of a telephone call to the child abuse hotline is confidential and may be released only upon court order. Provides that an audio record of a report of child abuse or neglect that is the subject of a complaint made to a prosecuting attorney shall be released to the prosecuting attorney upon request of the prosecuting attorney. Allows the department to consider the results of a criminal history check in deciding if a child can be reunified with the child's parent, guardian, or custodian. Requires a court to order a guardian to provide financial assistance to support a minor or incapacitated person if the department is going to provide financial assistance to a guardian for the benefit of the minor or incapacitated person. Requires the department to establish a residential placement committee and a permanency roundtable to review certain placements of children. Requires a person filing a petition to terminate parental rights to request a hearing on the petition. Provides that if a hearing regarding a petition to terminate parental rights is not commenced or held within a certain time, the court shall dismiss the petition. Removes requirements that a county pays for certain child placements. Provides that a court may appoint a court appointed special advocate or guardian ad litem only if the person has training appropriate for that role. Changes the number of days for which the department may grant a waiver for the maximum stay for a child if the child caring institution or group home caring for the child is a licensed shelter care facility. Provides that operators of therapeutic foster homes are certified and not licensed. Provides that the department may make certain reports and material available to the state superintendent of public instruction. Provides that the results of an administrative hearing regarding an investigation into child abuse or neglect shall be forwarded to the department of education in certain circumstances. Modifies the definition of "child abuse or neglect", "victim of child abuse or neglect", "child", "related", and "foster family home". Provides that a person may operate a foster family home for a related person without a license. Provides for the creation of regional based fatality review teams. Changes the law regarding: (1) the disclosure of certain reports regarding the fatality or near fatality of a child; (2) the expungement of reports of child abuse and neglect; (3) when a child is a child in need of services (CHINS); and (4) requirements of a motion to dismiss a petition to terminate parental rights. Provides that certain administrative hearings may be stayed pending a decision to prosecute the case. Expands the applicability of a chapter concerning child videotape testimony in CHINS proceedings. Requires a court to hold an initial hearing regarding a child alleged to be a CHINS within 48 hours of the filing of the petition. Provides additional circumstances establishing prima facie evidence that there is a reasonable probability that: (1) the conditions that resulted in the removal of a child from a parent will not be remedied; or (2) the continuation of the parent-child relationship poses a threat to the well being of a child. Repeals older youth foster care and replaces it with a collaborative care program. Repeals a chapter requiring the department to make certain reports to the general assembly. Repeals a circumstance when a child is a CHINS.
Date Action 01/31/2012 S: Co Sponsor Added Cindy NoeMakes conforming changes to the interstate compact for the placement of children. Changes references of the "county office of family and children" to the correct agency. Adds Title IV-D of the Social Security Act to the list of programs to which an agency may disclose a Social Security number. Removes a requirement that a local child protection team shall assist the department of child services ombudsman with redacting or reviewing certain reports. Removes a duty of the division of family services to administer preservation services to high risk youth. Removes language regarding deposits by the family and social services administration (FSSA) into the child welfare services account. Removes language requiring the department of child services (department) to prepare information to the state board of accounts. Requires certain information to be included in a paternity affidavit. Removes language requiring the department to investigate and report to a court regarding the conditions of a minor and the fitness of a guardian if ordered by a court. Makes statutes consistent regarding the age of a child that a person may give up under the safe haven statute. Provides that the department has authority to redirect a payment to the appropriate government agency when there is an assignment under Title IV-A or IV-E. Removes the requirement that an obligee must disclose the person's Social Security number on certain child support related forms. Changes references to the Indiana support enforcement tracking system to include the successor statewide automated support enforcement system. Makes changes to background check statutes to be consistent with federal law. Requires the department to consult with the division of family resources regarding the adoption of rules concerning child caring institutions and group homes that are licensed for infants and toddlers. Modifies statutes concerning licensing procedures and criminal history checks that the department performs. Removes certain facilities that may be licensed as a secure private facility. Removes the requirement that the department must purchase one computer for every two case managers. Provides that certain Title IV-D fees may be set according to rules adopted by the department. Provides that a corrective action for emergency protection of children includes a hold on new placements. Requires the department to advise a parent who is voluntarily relinquishing their parental rights that the parent's consent may not be based upon a promise regarding the child's adoption or contact of any type with the child after the parent voluntarily relinquishes parental rights. Requires the department to require a consumer report on certain children in state foster care. Requires a court to enter findings of fact that support the entry of its conclusions granting a termination of parental rights. Repeals the county child advocacy fund. Repeals language requiring the department and probation department make progress reports on certain children. Repeals language regarding destitute children. Repeals the definition of "kinship caregiver". Adds cross references. Makes technical corrections.
Date Action 01/31/2012 H: 1st Reading Assigned Family, Children and Human AffairsA CONCURRENT RESOLUTION urging the Commission on Mental Health and Addiction to examine the issue of involuntary commitment of persons with substance use disorders.
Date Action 01/10/2012 S: 1st Reading Assigned Health and Provider Services