MENTAL HEALTH PARITY IS THE LAW. LET’S MAKE IT WORK!
In the May 5, 2017 issue of The Oregonian, our legislation – Senate Bill 860 – was featured in a guest editorial by Senate President Peter Courtney!
You can read the full article here: Mental health is important, not just today
Please share this with your colleagues. We are on the verge of passing our bill. There is only one hearing left before the bill goes to a vote in both the Senate and the House. We will let you know as this develops.
As of today, we are very optimistic about our opportunity to pass Senate Bill 860.
As you’ll recall, Senate Bill 860 will finally start the process of requiring insurance companies to reimburse mental health professionals in an equivalent manner to how they reimburse physicians. It will also start the process of ending aggressive or punitive utilization reviews of mental health services, including over-management and underpayment of CPT 90837 sessions.
It will require state enforcement of the existing Oregon Mental Health Parity Law to ensure Oregon consumers have full access to needed mental health services.
SB 860 cleared its first hurdle when it passed the Senate Human Services Committee unanimously on April 12th.
Today, SB 860 is in the Ways & Means Committee. We only have one real obstacle in front of us, which is passing the bill out of the Ways & Means Subcommittee on Human Services. The chairwoman of the committee, Senator Elizabeth Steiner Hayward is, a strong proponent of our bill.
We are working with Senator Steiner Hayward to schedule SB 860 for a hearing and a vote.
We will let you know when this happens, as this will be our final opportunity to weigh in before both the Senate and the House vote on our bill.
Thank you all for your support. A lot of work has gone into this, and we’ll have much to celebrate when we get it to the finish line.
Please consider donating any amount to support our momentum!
Make a direct financial investment in your future!
Tell the insurers that mental health providers should be reimbursed fairly to ensure access for all their clients.
From your AMHA-OR Metro members (Anne Emmett, Tracy Bryce-Farmer, Larry Venaska and Marc Andrews) on the Legislative Committee aka Oregon Independent Mental Health Professionals
GREAT NEWS FROM YOUR LEGISLATIVE COMMITTEE!
Tired of insurance companies paying you less than your services are worth?
Wish there was some way to protect your patients from having their treatment scrutinized unfairly, limited or denied?
Ready for some good political news??
February 2017: AMHA’s legislative committee is proud to announce that our bill has been formally introduced in the Oregon Senate.
*Introducing Senate Bill 860 SB 860 declares that lack of parity for mental health reimbursement is a public health emergency.
Current law says there must be parity, or equivalence, in the way insurers reimburse mental health providers and physical medical health providers, but we all know this does not happen in practice.
This bill would compel the Department of Consumer and Business Services (DCBS) to study:
DCBS shall adopt rules to ensure parity requirements are met by insurance plans offered to residents in this state.
This bill is the outcome of the hard work of the AMHA and WOMHA legislative committees under our coalition name: Oregon Independent Mental Health Professionals (OIMHP). We work with our well-connected lobbyist in Salem, JL Wilson of Public Affairs Counsel. JL has demonstrated a personal investment in ensuring parity in reimbursement for mental health providers as a way to protect our clients. We have active partners in Salem advocating for the bill including NASW, COPACT and the psychologists. We are really excited as we prepare to testify with a professional show of force in our state capitol. We wanted to share the good news! Thank you for your support of our efforts.
AMHA Legislative Committee aka Oregon Independent Mental Health Professionals (OIMHP):
This committee has been in existence since 2014 and current membership consists of Metro members (Anne Emmett, Tracy Bryce Farmer, Larry Venaska and Marc Andrews) and WOMHA members (Nick Dietlein, John Milnes and Pat Mooney). We represent members who have traditional practice, those in the IPA or a combination. The committee works with the lobby firm Public Affairs Counsel.
What has been accomplished this past year:
Collaborated in the design of the Oregon Insurance Divisions’ (OID) data call to gather 2007-2015 mental health reimbursement data in order to examine trends.
Where do we go from here?
The 2017 legislative session starts in February and ends in July. Because of our committee work and the guidance of our lobbyist we are poised to achieve results in our work towards tough insurance regulation and fair mental health reimbursement. We also have been informing our legislators and policy makers about the Connecting Care Model.
Our lobbyist has been working in coalition with lobbyists from NASW, COPACT and OPA and reports a strong working relationship which will be helpful in this next legislative session, particularly if new legislation proposed.
This committee is currently awaiting the results from a compliance review/formal market analysis of data from Oregon’s domestic health insurance carriers, consumer complaints and other related market analysis investigations that took place during the time period of 1-1-2007 through 12-31-2015. We will be contacting interested legislators about this issue this month.
Funding continued work of this committee:
The Legislative Committee recommends continued involvement with PAC and have recently sent out a fundraising letter to the professional community to fund further work. See the letter on the AMHA-USA and Metro web sites. The Metro Board has approved $7,500 in funds towards lobbying costs and will continue to look at ways to raise additional funds. Please consider a generous contribution as an investment in your future as an independent private practitioner.
Your Metro reps on the Legislative Committee:
Anne Emmett Larry Venaska
Tracy Bryce Farmer Marc Andrews
September, 2016 Funding Appeal
OIMHP LOBBIES FOR FAIR MENTAL HEALTH REIMBURSEMENT: JOIN US
Does it concern you that insurance companies now audit therapists for billing 60 minute sessions??
Are you sick of not being compensated adequately for your professional services?
Do you find it ironic that for all the talk about partnering physical and mental health care, insurance premiums go up, but mental health reimbursement stays stagnant or trends downward?
The Oregon Independent Mental Health Professionals organization (OIMHP) makes it easy for you to support a targeted political effort designed to deliver a long overdue increase in insurance payments to mental health professionals. OIMHP has contracted with the Public Affairs Counsel lobby firm to achieve this goal. We need your financial support to continue our work.
OIMHP’s lobbyist, J.L. Wilson, has a personal stake in advocating for financial parity for providers due to a loved one’s ongoing mental health challenges. J.L. reports there are very promising signs on the horizon favoring the passage of insurance regulation and/or new legislation that will increase mental health reimbursement:
a collaborative relationship with the Oregon Insurance Division,
Please make a donation at the link above. **2016-17 donations are partially deductible as a necessary business expense...Assure the growth of your income as a private practitioner!
Who are we?
Oregon Independent Mental Health Professionals
We are members of the American Mental Health Alliance (AMHA). We represent independent mental health practitioners in both traditional practice and in Independent Practice Associations (IPAs)*. Our Legislative Committee, OIMHP, includes members from the Portland-based Metro Board (AMHA-OR) and the Salem-based Western Oregon Mental Health Alliance Board (WOMHA).
Why have we built a legislative collaborative with the Public Affairs Counsel?
The Public Affairs Counsel has lobbied mental health issues in Salem for more than three decades—first for the National Association of Social Workers and then for the Oregon Society of Clinical Social Workers. In 1981, PAC was largely responsible for the passage of the mental health vendor-ship law for social workers, allowing them to bill insurance. The Public Affairs Counsel also led the fight to pass a mental health parity law in Oregon.
PAC has a long list of corporate and association clients including General Motors, Allstate Insurance, 7-Eleven, Inc., Oregon Head Start Association and the Oregon Housing Alliance. PAC’s J.L. Wilson has a 16-year history in public affairs and lobbying as past Executive Director of NFIB/Oregon and past Senior Vice President of Government Affairs at Associated Oregon Industries. Prior to that, he served as Legislative Director for two Speakers of the Oregon House.
Why should you support us?
You may be a member of a professional organization that also has a lobbyist you wish to support. In that case, please give to them generously. They are our partners in this effort. However, if you are unaffiliated or wish to invest in our efforts to bring about better reimbursement on your behalf--please consider supporting our legislative efforts by donating to the Oregon Independent Mental Health Professionals. It is a wise investment to promote the future of your thriving practice.
PLEASE JOIN US!!
*AMHA Northwest (AMHA-NW) has formed an Independent Practice Association (IPA) organizational structure with regional chapters and bylaws designed to allow therapists to join together and negotiate with insurers for better reimbursement rates based upon the ACA’s Triple Aim--better patient access and experience of care, improved patient and group health, and cost- effective treatment.
AMHA-NW has developed a “Connecting Care” treatment model of providing empirically-based, physician-therapist coordinated care. By emphasizing quality care that provides added consumer value, individual AMHA members are able to negotiate better reimbursement rates as a group while preserving their individual autonomy. So far, we have contracts with PacificSource and MODA. We seek others.
OIMHP Legislative Committee:
Patrick Mooney, Ph.D. Sam Stevens, LMFT
Anne Emmett, LCSW, Marc Andrews, LCSW John Milnes, LCSW,
Nick Dietlein, Psy.D., Judy Tuttle-Zollner, LPC, Tracy Bryce Farmer, LCSW