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House Behavioral Health System Reform
On Wednesday, May 26, Representative Mary Whiteford and colleagues in the House of Representatives introduced a 5-bill bipartisan package of behavioral health reform bills – House Bills 4925 – 4929.
Under the Social Welfare Act bill, the Department of Health and Human Services (MDHHS) will be required to contract with a “self-funded entity” that will provide financial and clinical integration for “eligible Medicaid beneficiaries with mental illness, emotional disturbance, substance use disorder or intellectual or developmental disability.” The services provided under this model will remain carved out of Medicaid health benefit plans.
The Mental Health Code changes set forth under the package include the creation of an Administrative Services Organization (ASO). MDHHS or the ASO could provide services directly or enter into a third-party contract with the Michigan Department of Health and Human Services and contract directly with Community Mental Health Service Providers (CMHSPs) to ensure an “adequate network of public behavioral health services.” MDHHS would provide operational oversight of the ASO.
The bill also creates the behavioral health oversight council within MDHHS to advise the department in developing and executing public behavioral health policies, programs and services.
A hearing is expected on the bill package in the House Health Policy Committee on Thursday, June 3.
Open Access Legislation
On Thursday, May 27, the Senate Health Policy Committee heard testimony on Senate Bill 412. Introduced by Senator Curtis Hertel, this legislation seeks to codify annual budget boilerplate language that ensures “protected classes” of drugs, including mental health, are not subject to prior authorization under Medicaid Managed Care.
ngd-And much more…