Integrating behavioral health and primary care |
• SUD treatments will be provided within the primary care setting. |
• Reimbursement for treatment will be similar to other chronic diseases needing long-term management. |
Emphasizing prevention of substance abuse |
• Preventive services for substance-related conditions will be covered (eg, routine screening of substance use and related problems, brief intervention, and referral to treatment). |
Allowing individuals with a pre-existing condition to have insurance coverage |
• Previously uninsured individuals (due to a pre-existing condition) will have insurance coverage for SUD treatment. |
• Individuals who received SUD treatment in the public sector or from other specialty programs will receive SUD care in the mainstream health care system. |
Expanding medicaid |
• It will bring coverage to a large number of new enrollees. |
• Essential mental health and substance abuse services will be covered. |
Increasing eligibility of coverage for children up to age 26 under their parents’ plans |
• Young adults – the group with an elevated rate of SUDs – will be covered for prevention services and treatment for SUDs. |
Eliminating lifetime caps on essential benefits and supporting health care homes to coordinate care for individuals with chronic illnesses |
• SUDs will be treated, managed, and monitored over a lifetime like other chronic illnesses. |