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At the Judge David L. Bazelon Center for Mental Health Law’s June 22, 2023 event celebrating the 24th anniversary of the decision in Olmstead v. L.C. (Lois Curtis), it was announced that New York’s Senator Kirsten Gillibrand and Congressman Daniel Goldman (D-NY-10) have proposed the “Strengthening Medicaid for Serious Mental Illness Act.” Read the press release here.
The Act would provide desperately needed mental health support to the 14 million adults in the U.S. living with a serious mental illness (SMI), such as schizophrenia, bipolar illness, and major depressive disorder. Too many individuals living with SMI are stuck in a devastating cycle moving between hospitals, jails, and housing instability due to lack of access to community-based treatment. In 2021, over 1/3 of individuals with SMI did not receive any form of mental health treatment. In New York City, a number of subway deaths have highlighted the need for access to intense and immediate mental health support. This bill creates a new package of services under Medicaid targeted specifically to individuals living with SMI, sets a national standard for SMI care, and incentivizes states to provide intensive community-based services to treat SMI.
The Bazelon Center helped shape this legislation and strongly supports the “Strengthening Medicaid for Serious Mental Illness Act,” a critical improvement to the Medicaid program. It also has been endorsed by the National Health Law Program. The legislation, introduced on the 24th anniversary of the Supreme Court’s landmark decision in Olmstead v. L.C. (Lois Curtis), will incentivize states to provide a robust array of intensive community-based services for adults with mental health disabilities. These services - including Assertive Community Treatment (ACT), housing-related services, supported employment, peer support services, and mobile crisis services - have been proven to help individuals with disabilities live successfully in their own homes and communities. The services help people avoid unnecessary institutionalization in hospitals and other facilities, which under Olmstead constitutes disability-based discrimination. This bill will help states comply with their legal obligations and save taxpayer dollars that would otherwise pay for expensive institutional care.
These services – including housing-related services, supported employment, peer support services, ACT, and mobile crisis services–have been proven to help individuals with disabilities live successfully in their own homes and communities and avoid unnecessary institutionalization in hospitals and other facilities, which under Olmstead v. L.C. constitutes disability-based discrimination.
Specifically, the Strengthening Medicaid for Serious Mental Illness Act would:
1. Create a new waiver program granting Medicaid authority to provide states with an option to offer a package of services targeted specifically to individuals with SMI. The package would include:
2. Require states to adhere to certain standards, like tracking disparities in treatment, to ensure services are delivered with care to all in need.
3. Create a tiered Federal Medical Assistance Percentage (FMAP) increase to incentivize states to provide intensive community-based services to individuals with SMI. This means that states could receive an increase up to 25% in funds allocated by the federal government for their Medicaid programs.
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June 2023 Monthly Briefing, Judge David L. Bazelon Center for Mental Health Law, 2023.
Read the June 22, 2023 Press Release.
Read the June 22, 2023 NHeLP release.
Book Review:
by Samuel G. Freedman
Oxford University Press: 2023. 504 pages. $34.95.
This interesting book celebrates the Democratic Party's 1948 adoption of a Civil Rights plank at its presidential nominating convention. Hubert Humphrey was the driving force behind this important landmark in the Civil Rights movement. As Adam Hochschild, author of Bury the Chains (2005) and American Midnight (2022), commented: "...Even people like me who disagreed with Hubert Humphrey over Vietnam will come away from this book with a deepened respect for the man who dragged his reluctant party to take a stand for civil rights."
When they convened in 1948, a pressing issue - besides re-nominating Harry Truman for President - was if Democrats would finally embrace the cause of civil rights and put it in their official platform. Even under Franklin Roosevelt, the party had dodged the issue in order to keep a bloc of Southern segregationists - the so-called Dixiecrats-in the New Deal coalition. On the convention's final day, Hubert Humphrey, then 37 and the not well known mayor of Minneapolis, urged the delegates to "get out of the shadow of state's rights and walk forthrightly into the bright sunshine of human rights." To many's surprise including Humphrey, the delegates voted to adopt a strong civil-rights plank. Truman ran on it in his campaign, desegregated the armed forces, and upset the Republican frontrunner Thomas Dewey - a victory due in part to an unprecedented surge of Black voters.
The book includes the history of Humphrey's many contributions to liberal politics, especially regarding civil rights. Humphrey's life journey to the 1948 pivotal speech went from a rural, all-white South Dakota town, to the mayoralty of Minneapolis where he fought its notorious racism and anti-Semitism, to his role as a national champion of multiracial democracy. His allies included a Black newspaper publisher, a Jewish attorney, and a professor who had fled Nazi Germany. The adversaries were the white supremacists, Christian Nationalists, and America Firsters of mid-century America - one of whom tried to assassinate him on February 6, 1947. The March 18, 1948 Minneapolis Star Tribune explained that Humphrey’s championship of civil rights and work for honesty in government "had stoked anger in some quarters."
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Celebration of ADA's 33rd Anniversary
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