Home for our policy goals

Our legislative agenda for recovery and behavioral health, and the watchdog work holding insurers accountable.

On this page

Legislative agenda

Current bills

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Watchdog reports

Advocacy

A

Section A: Helping Veterans and Military Families

Take Care of America's Veterans Act

Large bipartisan package expanding mental health and suicide-prevention care. Holds the VA accountable for long wait times. Veterans in urgent need get a diagnosis within 48 hours and immediate treatment placement.

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H.R. 8501 / Kean press release

Veterans CENTERS for Mental Health Act of 2026

Full name: Veterans Centers-Enabled National Treatment Equitable Resource Supplement. Bipartisan. Expands local counseling for veterans and their immediate families by funding more community Vet Centers in underserved areas.

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Never Fight Alone Act

Removes VA bureaucratic hurdles so veterans can bypass waitlists and get urgent mental health and substance use care from approved local community providers.

B

Section B: Supporting Doctors, Clinicians and Providers

More Behavioral Health Providers Act

Tackles the national provider shortage with boosted Medicare payment incentives for clinicians in shortage areas. Covers psychiatrists, psychologists, marriage and family therapists, clinical social workers, and mental health counselors.

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H.R. 8081

Mental Health Access and Provider Support Act of 2026

Improves access to mental health services under Medicare. Makes it easier for traditional doctors and private practices to get reimbursed for adding behavioral health to primary care.

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Military Mental Health Professionals Support Act

Bipartisan. Signed into law as part of the National Defense Authorization Act. Removes the caps that counted military mental and behavioral health specialists against personnel limits by rank, making it easier to recruit and retain the providers who care for servicemembers.

C

Section C: Improving Clinical Quality and Care Coordination

Veterans Mental Health and Addiction Therapy Quality of Care Act

Requires an independent study comparing outcomes of VA care vs. private, non-VA care. Targets gaps in records-sharing and coordination so doctors have better data for co-occurring addiction and mental health conditions.

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Becker's Behavioral Health

Ensuring Excellence in Mental Health Act

Creates permanent Medicare and Medicaid payment infrastructure for Certified Community Behavioral Health Clinics (CCBHCs). Gives local clinics dependable federal funding for 24/7 crisis care and direct coordination with families and local veterans organizations.

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D

Section D: Mental Health Parity Enforcement

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H.R. 9551

Mental Health Parity Enforcement and Funding Act

Introduced in the House June 30, 2026. Adds civil monetary penalties for parity violations and funds enforcement.
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H.R. 957

Parity Enforcement Act of 2025

Introduced February 4, 2025. Same general purpose: civil penalties for parity violations.
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Enacted · Effective July 1, 2026

Maryland SB0205 (2026)

Enacted. Writes federal mental health and SUD parity requirements into state law. Requires carrier data reporting and clearer explanations of access differences. Effective July 1, 2026.
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State bills

New Jersey S4415 and S3109

Multiple parity bills requiring monitoring, annual reporting, provider-directory maintenance, and a public consumer complaint log tied to mental health and SUD coverage.

What is MHPAEA?

E

Section E: Direct Impact Summary

Group Helped
Primary Legislative Benefit
Key Examples

Families

Expanded community clinic crisis care and family counseling access

CCBHC Framework, Vet CENTERS Act

Veterans

Strict 48-hour care mandates; direct access to non-VA community doctors

Take Care of America's Veterans Act

Doctors and Providers

Increased Medicare reimbursements and recruitment flexibilities

More Behavioral Health Providers Act

Join the Alliance
The Count Is the Argument
Every name added makes the next conversation with a regulator, a reporter, or a congressional staffer a different conversation. It takes under a minute.
Denial Rate Comparison
Behavioral health
Comparable medical
Surgical

Parity Has Been Federal Law Since 2008. Ask Any Owner How That Went.

The Mental Health Parity and Addiction Equity Act requires plans covering behavioral health to treat those benefits no more restrictively than medical and surgical benefits. Eighteen years later, the gap between what the law requires and what providers experience is the subject of most of our research.
What Parity Law Actually Requires

Most People Think Parity Means Equal Coverage. It Does Not.

MHPAEA does not require a plan to cover behavioral health at all. It requires that a plan that does cover it apply no greater restriction to those benefits than it applies to medical and surgical benefits of a comparable level.

That distinction is where most of the practical difficulty lies. The restrictions at issue are rarely written into the plan document. They appear in how medical necessity criteria are applied, how often concurrent review occurs, how long an authorization runs, and how reimbursement rates are set relative to comparable medical services. The law calls these nonquantitative treatment limitations, and they are harder to prove than a simple coverage exclusion because they emerge from operational practice rather than from policy language.

BHDA publishes plain language explanations of these requirements for providers, families, and policymakers who need to understand what the law does and does not reach.

Where the restrictions hide

Medical necessity criteria

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Concurrent review

Authorization length

Reimbursement rates

Legislation We Track

What Is Moving, and What It Would Change

BHDA maintains a tracker of federal and state legislation affecting behavioral health access, reimbursement, and parity enforcement. Each entry describes the bill, its current status, and its practical effect on providers and patients. We do not characterize bills as good or bad.
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Parity Enforcement

Federal and state measures that would attach real consequences to parity violations, including civil penalties, carrier reporting requirements, and funding for enforcement. This is the category closest to the daily experience of every provider in the alliance, and it is where our tracking is most detailed.

Provider Capacity and Reimbursement

Measures addressing the shortage of behavioral health professionals and the reimbursement conditions that determine whether practices can sustain behavioral health services, including Medicare payment incentives for clinicians in shortage areas and the removal of personnel caps that limited recruitment of psychiatrists and behavioral health specialists.

Veterans and Military Families

A substantial share of current federal behavioral health legislation concerns veterans and military families, including appointment wait times, expansion of community-based counseling centers, and access to non-VA community providers. BHDA tracks these as adjacent legislation affecting the broader field.

Clinical Quality and Care Coordination

Measures affecting records sharing between providers, outcome comparison studies, and the funding infrastructure for community behavioral health clinics providing crisis care.
The Reports Are the Point
Watchdog Reporting

The Reports Are the Point

BHDA publishes periodic research drawn from member-submitted denial records, discharge decisions, and reimbursement data. Reports are anonymized at the patient level and aggregated to show patterns rather than anecdote.

Each report states its methodology, its sample size, and its limitations. We publish the limitations because research that overstates its reach gets dismissed on the first reading, and we would rather be believed than quoted.