Lawmakers and regulators make decisions every day that impact healthcare and how providers deliver services. Netsmart is an advocate on key federal legislative and regulatory issues on behalf of our clients and those they serve. Scroll to learn more about our current areas of focus:
S. 2688 Lead Sponsors: Sen Markwayne Mullin (R-OK) and Sen. Catherine Cortez Masto (D-NV)
H.R. 5116 Lead Sponsors: Rep. Doris Matsui (D-CA-07), Rep. Ron Estes (R-KS-04), Rep. Sharice Davids (D-KS-03) and Rep. Bill Johnson (R-OH-06)
This proposed legislation authorizes grants totaling $100 million ($20 million per year over 5 years to behavioral health providers) to purchase software and support services needed to provide behavioral health care services. The grant program will be administered by the Office of the National Coordinator for Health Information Technology (ONC). The agency would have up to 18 months after passage of the bill to issue a Notice of Funding Opportunity (NOFO).
With a significant focus on integrated care, program requirements specify that behavioral health care providers receiving a grant shall use the grant funds to:
S. 2137 Lead Sponsors: Sen. Debbie Stabenow (D-MI) and Sen. Susan Collins (R-ME)
H.R. 5159 Lead Sponsors: Rep. Terri Sewell (D-AL-07) and Adrian Smith (R-NE-03)
The Centers for Medicare and Medicaid Services (CMS) is proposing to apply an additional 5.653% permanent cut to the Medicare home health benefit in its CY 24 Home Health Prospective Payment System (HH PPS) Rate Update proposed rule, which already reflects a nearly -4% reduction put in place for CY 2023.
These additional cuts would have significant, long-term repercussions for home health patients and home health providers. It is estimated that more than half of Medicare-certified home health agencies will be operating with negative margins as a result of these reductions.
Netsmart joins the National Association for Home Care & Hospice (NAHC), the Partnership for Quality Home Healthcare (PQHH), LeadingAge, and other organizations in supporting the Preserving Access to Home Health Act of 2023. This legislation will help ensure stability in payments to home health agencies by:
Certified Community Behavioral Health Clinics (CCBHCs) coordinate and manage care across the spectrum of health services for positive outcomes. Netsmart is a technology partner to CCBHCs nationwide, and a strong advocate for sustained funding for CCBHC expansion alongside the National Council for Mental Wellbeing and other key associations.
This landmark bill, signed into law in June 2022, includes $8.5 billion for extension and expansion of the successful CCBHC Medicaid state financing demonstration program:
News Release – Cong. Tony Cárdenas (D-CA-29), Lead Sponsor
The National Association of Counties reports that nearly 11 million arrested and detained individuals pass through more than 3,000 local jails each year, with an average stay of 25 days. NACo data also show that approximately 44% of jail inmates have a diagnosed mental illness, and almost 2/3 have co-occurring substance use disorders.
Counties are required by federal law to provided adequate healthcare for inmates, including the NACo-reported six of ten that are incarcerated and not yet adjudicated. However, Section 1905(a)(A) of the Social Security Act prohibits Medicaid matching funds from being used to pay for inmate medical care, even if they are eligible or enrolled. This Medicaid Inmate Exclusion Policy (MIEP) results in discontinuity of care for persons after release because of the time it take to reenroll and for benefits to be restored after re-entry into the community. The significant cost of inmate medical care is the single largest line item in some counties’ budgets.
Netsmart is the technology partner to more than 250 county behavioral health, public health and other human services departments and authorities. We join NACo and the National Association of County Behavioral Health and Developmental Disability Directors (NACBHDD) in supporting legislation to allow reimbursement of jail healthcare costs for Medicaid-eligible individuals.
NACo Policy Brief: Improving Health Services for Justice-Involved Individuals