Acknowledgments Special thanks to Diane Rowland for her review and comments, Cathy Hoffman and Karyn Schwartz for their analytic support, Sarah Carkhuff for her editorial assistance, and Ardine Hockaday for graphic design and layout.
The Patient Protection and Affordable Care Act will expand insurance coverage to millions of Americans with mental disorders. One particularly important implementation issue is the scope of mental health and substance abuse services under expanded health insurance coverage. This article examines current public and commercial insurance coverage of the range… (More)
Over its 35-year history, Medicaid has grown from a program to provide health insurance to the welfare population to one that provides health and long-term care (LTC) services to 40 million low-income families and elderly and disabled individu als. Despite its accomplishments in improv ing access to health care for low-income pop ulations, Medicaid… (More)
The nation's ability to prepare for and respond to an infectious disease or bioterrorist attack rests largely in states' public health systems. Early federal efforts to provide funding to help states and localities build their infrastructure have led to a great deal of activity in this area. Evaluations of progress in preparedness show both successes and… (More)
The Kaiser Commission on Medicaid and the Uninsured provides information and analysis on health care coverage and access for the low-income population, with a special focus on Medicaid's role and coverage of the uninsured. Begun in 1991 and based in the Kaiser Family Foundation's Washington, DC office, the Commission is the largest operating program of the… (More)
OBJECTIVE Little is known about the effect recent health care reform legislation will have on coverage of individuals with severe mental disorders. The authors examined current and predicted sources of insurance coverage and use of mental health services among adults with and without severe mental disorders and modeled postreform changes. METHOD The… (More)
OBJECTIVE Transformation--systemic, sweeping changes to promote recovery and consumerism--is a pervasive theme in discussions of U.S. mental health policy. State systems are a fundamental component of national transformation plans. However, it is not clear how the vision of transformation will be balanced against the idiosyncratic political forces that… (More)
SUMMARY America's public health insurance programs reflect a deeply rooted commitment to caring for low-income families and children. This article chronicles the evolution of Medicaid and the State Children's Health Insurance Program (SCHIP), two public programs designed to provide free or low-cost health coverage to low-income children who do not have… (More)