New Jersey Acting Governor Richard Codey (D) signed an executive order last
month to implement some of the recommendations of the Governor's Task Force on
Mental Health submitted to him on March 31 (Psychiatric News, May
The order authorizes expenditures of $250,000 to establish the Governor's
Council on Mental Health Stigma. That body will develop and implement a master
plan to increase public awareness and understanding of mental disorders.
The order also elevates the profile of mental health within the state
government by creating the position of special assistant commissioner for
mental health services and expands access to the state's mental health hotline
so residents can get help from a clinician 24 hours a day, seven days a
Oregon's Senate passed a parity bill (S 1) in June that got "caught
up in the deal making of the last days of the Legislative Assembly,"
reported the Oregonian on June 13.
The Oregonian, however, had harsh words about the process."
If this sausage making is hard for the public to stomach, imagine how
it looks to the exhausted families that have spent themselves into bankruptcy
trying to get care for their mentally ill children."
The column, part of a series titled "Oregon's Forgotten
Hospitals," describes the struggles of two families to get help for
their sons. The unnamed author wrote that the bill "is a declaration
that Oregon families should not have to lose everything, even custody of their
children, to the hell of a mental illness."
House Republican leaders refused to let the bill come to the floor for a
vote and were holding out for concessions on a proposed capital gains tax cut,
according to the column.
Mississippi has imposed additional limits on access to medications for
Medicaid beneficiaries, according to the Web site<www.kaisernetwork.org>
on June 16.
Under the policy, which was scheduled to take effect July 1, beneficiaries
will be allowed prescriptions for five drugs a month, two of which are
brand-name medications and three of which are generic medications.
Beneficiaries had been allowed up to seven prescriptions a month.
The HIV Medical Association sent Gov. Haley Barbour (R) a letter charging
that the policy could result in "substandard HIV care" because
generic antiretrovirals are not available, and most HIV/AIDS patients need at
least three antiretrovirals to treat the virus effectively.
Restrictions on access to medication also are a part of Tennessee's effort
to restructure TennCare, its Medicaid program.
The most recent proposal of Gov. Phil Bredesen (D) to the Centers for
Medicare and Medicaid Services (CMS) for changes to TennCare would limit
monthly prescription coverage to two brand-name medications and three generic
medications and introduce copayments of $3 for brand-name medications for
beneficiaries with incomes above 100 of the poverty level. The proposal would
permit establishment of a preferred-drug list and limit rights to appeal.
Nearly 400,000 adult beneficiaries would be affected by the change.
In Louisiana, physicians prescribing medication for Medicaid patients must
receive prior authorization for medications not on a preferred drug list.
However, antipsychotic medications and those used to treat hepatitis C had
been exempt from these requirements, but last month a bill to eliminate that
exemption received final legislative approval. The bill will go to Gov.
Kathleen Blanco (D), who is expected to sign it.
South Carolina submitted to the CMS a plan that would provide Medicaid
beneficiaries with personal health accounts to purchase public or private
health insurance, according to the Web site<www.kaisernetwork.org>
on June 21. The plan would also include higher copayments for services.
The proposal assumes that insurers would offer a variety of plans, ranging
from those with low costs and limited services to comprehensive HMO plans.
Beneficiaries would receive debit accounts to pay for additional out-of-pocket
costs and copays.
For each debit account, the state would earmark an amount similar to the
amount state residents spend on private-sector health care.
The Michigan Senate approved a Medicaid bill that would charge
beneficiaries an average $5 monthly premium, but would reduce that premium if
a beneficiary agrees to sign a pledge to lead a healthy lifestyle. A healthy
lifestyle would include abstinence from tobacco and an annual checkup, for
Beneficiaries who are pregnant, are in nursing homes, or have disabilities
are exempt from the premium.
The bill would establish a $10 copay for a brand-name prescription
medication if a generic is available and a $25 copay for nonemergency visits
to emergency rooms.
The Senate failed to approve Medicaid enrollment reductions that were in
the House version of the bill. ▪