What single-payer health care would mean for California therapists

California flagThe Healthy California Act — California’s single-payer bill — continues to make progress through the state legislature. If signed into law, it would make California the first state to have a statewide single-payer health care system, even as the federal Affordable Care Act may be scaled back. How would single-payer health care impact therapists, counselors, and related mental health providers?

Here, I’ll do a quick review of what we know so far. It’s broken down into three questions providers rightly ask about the bill: How would it impact my client load? How would it impact my rates? And, How would it impact how I run my practice?

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New Mexico, Nevada, Connecticut ban conversion therapy for minors

Ryan McGuire - Licensed under Creative Commons ZeroEarlier this month, the governors of Nevada and Connecticut signed laws banning conversion therapy for minors in those states. These follow the signing of a similar law in New Mexico in April. According to the National Center for Lesbian Rights, nine states now ban the practice. The District of Columbia and cities including Seattle, Cincinnati, and several in Florida have enacted similar bans.

If you are not familiar with the practice, conversion therapy (also sometimes known as reparative therapy) involves efforts to change someone’s sexual orientation. The American Psychological Association and other professional mental health groups have strongly disavowed the practice. They note that there is no evidence that the treatment is generally effective, but there is evidence of harm that it can cause.

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How President Trump will impact US mental health care

Future President Trump // Photo credit: Gage Skidmore [CC BY-SA 3.0 (http://creativecommons.org/licenses/by-sa/3.0)], via Wikimedia CommonsDonald Trump was elected President of the United States yesterday in what has been labeled a stunning upset. While much of the broader social discussion today will focus on how Trump’s victory happened, as psychotherapists we now must consider how President Trump will impact our profession.

Mental health is not mentioned in Trump’s health care reform paper or on the health care page of his campaign web site. So for this post, we look to his other stated policy goals to see how mental health care would be impacted.

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