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顾问说,提议的拜登规则推动保险公司增加心理健康保险,预计很快就会实现

2023-08-02 10:37 -ABC  -  557186

乔·拜登总统最近宣布根据白宫的说法,他的政府计划推动私营保险公司为精神健康服务提供与身体健康服务相同的覆盖范围,改善美国医疗保健系统中一个众所周知的漏洞。

“我们必须实现所有美国人真正精神健康平等的承诺。现在。现在。今天,我的政府宣布了大幅扩大美国精神卫生保健覆盖面的新举措。我们的计划将需要健康保险计划来确定他们提供的精神卫生保健的差距,”拜登上周说。

拜登在讲话中表示,近70%需要心理健康或成瘾治疗的儿童无法获得治疗,2020年,不到一半被诊断患有精神疾病的成年人接受了治疗。

拜登的国内政策顾问尼拉·坦德(Neera Tanded)周二参加了“GMA3”,讨论该计划中的一项新规则,旨在改善获得医疗服务的机会,解决接受医疗服务的障碍。

PHOTO: Neera Tanden, domestic policy advisor for President Joe Biden, is shown during an interview with

乔·拜登总统的国内政策顾问尼拉·坦登在接受“GMA3”采访时的照片。

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德马科·摩根:让我们来讨论一下拟议中的规则。它将完成什么?

坦登:正如总统概述的那样,今天,如果人们需要心理健康护理,他们就无法获得健康保险。从本质上来说,有保险的人往往不得不自掏腰包,因为他们无法在自己的网络上找到保险公司为他们提供的服务提供商。所以这是一个真正的挑战。总统概述的规则将要求保险公司提供真正的精神卫生保健保险,这意味着他们需要有足够的医生、精神卫生医师和治疗师。他们必须消除一些障碍,如事先授权,他们必须确保他们报销精神卫生保健,就像他们报销物理保健一样。

伊娃·皮尔格林:这条规则生效的时间表是什么?

坦登:我们还没有确定的日期。我们正在尽可能快地工作,但我们预计规则很快就会出台。

摩根:我们还讨论了保险范围。再来说说另外两个C,care和causes。

坦登:当然。总统对精神健康护理有一个全面的方法。这条规则实际上是关于保险范围的,意思是当你需要的时候,你应该从你的保险公司得到保险,但是那里有很多需要。我们希望确保人们在需要的地方得到照顾。这就是为什么总统投资了更多的诊所,以确保在你需要的任何地方都有护理,每周7天,每天24小时,遍布全国的诊所。总统和国会已经投资了500多家精神健康和行为诊所。还有988线。这是去年制定的立法,设立了一条988热线作为生命线,真的,任何人如果有精神健康问题,担忧,自杀想法,强烈焦虑都可以打电话。它会将你与你真正需要的医疗保健联系起来。

朝圣者:精神健康问题是这个国家的一个大问题。这显然是总统自己做不到的事情。他希望国会能做些什么来帮助他?

坦登:嗯,总统有一个每年投资850亿美元在精神卫生保健上的提案——这真的是在国会面前。我们希望他们认识到这是一个重要的问题。国会已经采取了重要的跨党派措施。两党共同制定的《更安全社区法案》去年投资于学校的精神卫生保健。它正在创建超过14,000名指导顾问,或者在全国各地的学校投资14,000名指导顾问。因此,国会在过去以两党合作的方式采取行动,我们希望它将继续以两党合作的方式解决这个问题。这不是红美国或蓝美国的问题。所有美国人都面临挑战,我们需要解决它们。

Proposed Biden rule pushing insurers to boost mental health coverage expected soon, adviser says

President Joe Bidenrecently announcedhis administration's plans to push private insurance companies to offer the same coverage for mental health services as they do for physical health services, improving upon a well-known hole in America's health care system, according to the White House.

"We must fulfill the promise of true mental health parity for all Americans. Now. Now. Today, my administration is announcing new steps to dramatically expand access to mental health care in America. Our plans would require health insurance plans to identify the gaps in the mental health care that they provide," Biden said last week.

During his remarks, Biden said that nearly 70% of kids who need treatment for mental health or addiction can't get it, and in 2020, less than half of adults diagnosed with mental illness received care.

Biden's domestic policy adviser, Neera Tanded, joined "GMA3" Tuesday to discuss a new rule in the plan that aims to improve access and address the barriers to receiving care.

DEMARCO MORGAN: So let's talk about the proposed rule there. What will it accomplish?

TANDEN: Well as the president outlined, today people don't have access to health coverage if they need mental health care. Essentially, people with insurance too often have to pay out of pocket, because they simply can't find a provider on their networks that the insurers provide them. So that's a real challenge. What the president outlined is a rule that will require insurers to offer true coverage for mental health care, meaning they need to have enough doctors, mental health physicians, therapists on their network. They have to get rid of some of the roadblocks like prior authorization, and they have to make sure they're reimbursing mental health care like they reimburse physical care.

EVA PILGRIM: What's the timeline for this rule to go into effect?

TANDEN: We don't have a date certain. We are working as fast as possible, but we expect the rule to be out very soon.

MORGAN: And we've talked about coverage. Let's talk about the other two C's, care and causes.

TANDEN: Absolutely. The president has a comprehensive approach to mental health care. This rule is really about coverage, means that you should have coverage from your insurer when you need it, but there's a lot of need out there. And we want to make sure that people have care where they need it. That's why the president has invested in additional clinics to ensure that there's care wherever you need it, 24 hours, seven days a week, clinics throughout the country. There are now over 500 mental health and behavioral clinics that the president and the Congress have invested in. There's also the 988 line. This was legislation created last year that created a 988 line for a lifeline, really, for anyone to call if they have mental health issues, concerns, suicidal thoughts, intense anxiety. It will connect you to the health care you really need.

PILGRIM: The mental health issue is a big problem in this country. It's obviously something the president can't do on his own. What's he hopeful that Congress will do to help out here?

TANDEN: Well, the president has a proposal that invests $85 billion a year in mental health care – that is really in front of the Congress. We hope that they recognize that this is an important issue. Congress has taken important bipartisan steps. The bipartisan Safer Communities Act last year invested in mental health care in schools. It's creating over 14,000 guidance counselors or it's investing in 14,000 guidance counselors in schools across the country. So the Congress has acted in a bipartisan way in the past, and we hope it will continue to act in a bipartisan way to address this issue. This is not an issue in red America or blue America. All of America has challenges and we need to address them.

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