The National Board for Certified Counselors (NBCC) is committed to keeping counselors informed about public policy issues affecting the profession. Our regular posts will highlight legislative and regulatory initiatives relating to counselor employment, reimbursement, funding, and practice rights. Stay tuned to ensure that you are up to date on all the latest counseling initiatives.
Published: 5/22/2025
Matt Glowiak, PhD, NCC, ACS, LCPC, CAADC, is a counselor educator and community advocate. He shares his experience in local politics and how it makes a difference.
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Published: 4/23/2025
Learn how lawmakers use this strategy to change policies for taxes, spending, and the debt limit.
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Published: 3/26/2025
Learn more about the efforts of NBCC’s Policy, Advocacy, and Research in Counseling Center (PARC) and Government Affairs team to foster support for counselors and the profession.
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Published: 3/26/2025
A continuing resolution recently passed by Congress has stabilized funding for mental health care through the end of September.
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Published: 2/28/2025
Executive orders are an important part of American governance and can create widespread changes that affect our nation. Here are the basics of how they are issued and administered, and some potential impacts for counselors.
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Published: 1/27/2025
This new online tool is a helpful resource listing each state’s requirements to enter the mental health and substance use fields and obtain certification or licensure.
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Published: 11/20/2024
The Centers for Medicare & Medicaid Services (CMS) has issued the 2025 Physician Fee Schedule, which establishes payment policies for Medicare providers, including counselors.
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Published: 10/23/2024
The Policy, Advocacy, and Research in Counseling Center (PARC) presents a two-pronged approach to advancing the profession. By working with counselor researchers and federal and state policymakers to identify areas of need and solutions, PARC will facilitate outcomes that uplift the profession and the public.
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Published: 9/30/2024
Read the summary of NBCC comments to the Centers for Medicare & Medicaid Services (CMS) on the proposed rule for the Medicare Physician Fee Schedule with an emphasis on safety planning intervention services and post-discharge follow-up that CMS is promoting in the rule.
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Published: 9/30/2024
Suicide is a leading cause of death in the United States. Several federal initiatives strive to address this tragedy by offering 24/7 mental health support, highlighting the importance of gun safety and more. Read more about ongoing initiatives and how to get engaged.
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Published: 9/11/2024
NBCC applauds the White House for their continued commitment to improving access to mental health care.
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Published: 8/21/2024
The Centers for Medicare & Medicaid Services recently released its proposed 2025 rule on policy changes regarding the reimbursement of Medicare providers. Learn about the impact.
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Published: 7/24/2024
Over 38,000 professional counselors have opted in as Medicare providers since enrollment opened at the beginning of the year.
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Published: 7/24/2024
The Counseling Compact now includes 37 states! This update answers the most common questions about when and how counselors will be able to practice between compact states.
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Published: 7/24/2024
Counselors have the ability to advocate for the needs impacting the profession. NBCC’s Government Affairs Department offers different opportunities so you can play a role in this important work. Whether you’re passionate about supporting initiatives at the state, federal, or global levels, there’s a space for you to champion counselors ...
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Published: 7/24/2024
Learn more about efforts by policymakers and proposed legislation that would extend Medicare coverage for pandemic-era telehealth policies through 2026.
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Published: 7/24/2024
NBCC recently participated in efforts to promote mental health before members of Congress as part of Hill Day 2024 in Washington, D.C.
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Published: 7/24/2024
The Centers for Medicare & Medicaid Services (CMS) recently released the 2025 Medicare Physician Fee Schedule proposed rule, which determines payment for services to health care and mental health providers.
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Published: 6/26/2024
The American Rehabilitation Counseling Association (ARCA) strives to promote the best practices for working with disabled clients. Its Disability-Related Counseling Competencies are an informative resource to help counselors understand the special considerations for working with this population.
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Published: 6/26/2024
Over 7 million individuals under 65 with disabilities are covered by Medicare, and counselors are poised to provide mental health care to those in need. We’ve compiled some resources to help you learn more about this population.
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Published: 5/22/2024
The need for expanded access to equitable healthcare continues to rise. This is especially true in for veterans. Read about recent initiatives to address this issue.
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Published: 4/29/2024
The president has signed the Further Consolidated Appropriations Act, 2024, as a starting point for federal budget negotiations. This package of bills contains several behavioral health provisions.
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Published: 3/20/2024
Our Government Affairs Department work to address the shortage of behavioral health providers on many levels. Learn more about our efforts and how you can become an advocate.
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Published: 2/21/2024
NBCC continues to monitor the introduction of new bills on restrictions on gender-affirming care and the implications for practitioners.
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Published: 2/21/2024
On Jan. 10, 2024, the Counseling Compact Commission held its Annual Business Meeting in-person with a virtual attendance option in Tucson, Arizona, at the Westin La Paloma Resort and Spa.
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Published: 1/17/2024
The addition of counselors to Medicare is a major achievement for the profession and for older Americans. As the U.S. populations ages, legislators, regulators, and practitioners should take additional steps to meet the mental health needs of older adults.
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Published: 1/17/2024
Last year, the federal government undertook numerous actions to bolster mental health. Most notably, the Centers for Medicare & Medicaid Services made a number of updates to the Medicare program to incorporate professional counselors and marriage and family therapists.
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Published: 12/20/2023
In September, NBCC submitted comments to CMS regarding the proposed provisions in the HOPPS rule. The NBCC Government Affairs team is delighted to report that CMS included their recommendations which will elevate the presence of counselors in the Medicare program.
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Published: 12/20/2023
Now that mental health counselors and marriage and family therapists are eligible to enroll as Medicare providers, the Centers for Medicare & Medicaid Services is taking several steps to improve access to behavioral health care services, such as proposing updates to provider network adequacy standards.
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Published: 11/29/2023
Counselors can now enroll as Medicare providers, with reimbursement beginning Jan. 1, 2024. The Physician Fee Schedule final rule reflects NBCC’s feedback during the proposed rule comment period earlier this year.
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Published: 11/29/2023
The Counseling Compact has seen tremendous growth, as 30 states have now passed legislation to join the Compact. Read more here and keep up with the latest news at our Grassroots Action Center.
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Published: 10/25/2023
Read more about our efforts to encourage federal agencies to help those who need mental health services to access them through their health insurance plans as part of the Mental Health Parity and Addiction Equity Act.
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Published: 10/25/2023
Learn more about how we support the revision of Medicare payment systems to include mental health counselors and marriage and family therapists among other similar practitioners whose work is currently recognized.
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Published: 9/20/2023
In an official letter to the administrator of CMS, NBCC has commended CMS for proposing several key important provisions that accurately reflect the legislation passed in the 2023 Consolidated Appropriations Act.
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Published: 9/20/2023
NBCC and the Medicare Mental Health Workforce Coalition are pleased to have had the opportunity to honor our mental and behavioral health champions on September 12, 2023.
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Published: 9/20/2023
States continue to pass legislation to restrict gender-affirming care for youth. Counselors serving clients in these states are encouraged to review the bills and laws to ensure that they are aware of any potential impacts on clinical practice and client engagement. Learn more and read NBCC’s stance.
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Published: 9/20/2023
The Medicare Mental Health Workforce Coalition recently sponsored the webinar “Medicare 401: Assessing the Essential Features of the 2024 Medicare Physician Fee Schedule Rule and Implications for Counselors and MFTs.”
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Published: 6/29/2023
U.S. Rep. Richard Neal, as Chair of the House Ways and Means Committee, was instrumental in securing the passage of Medicare coverage for counselors and marriage and family therapists in last year’s federal omnibus budget bill. The Medicare Mental Health Workforce Coalition recently honored Rep. Neal in a formal reception.
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Published: 5/24/2023
At least 19 states have passed legislation to restrict gender-affirming care for youth while another 19 have introduced such bills. Read on to see the potential impacts for you and your clients.
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Published: 5/24/2023
NBCC had the opportunity to submit comments to SAMHSA focusing primarily on Preventing Overdose; Promoting Resilience and Emotional Health for Children, Youth, and Families; and Strengthening the Behavioral Health Workforce.
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Published: 4/20/2023
President Biden’s proposed budget for the coming fiscal year expands numerous federal mental health programs and includes new initiatives. These include Medicare, SAMHSA programs, the 988 Suicide and Crisis Lifeline, and much more.
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Published: 3/22/2023
NBCC will host and co-sponsor free webinars with members of the Medicare Mental Health Workforce Coalition on April 21 and May 5 about how Medicare Part B coverage for counselors will be implemented in January 2024.
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Published: 3/22/2023
After many years of advocacy, the Department of Veterans Affairs has officially instituted a unique occupational series for professional counselors. This step will improve hiring of counselors in the VA system and enhance counselor identity throughout the federal workforce.
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Published: 2/15/2023
The Counseling Compact continues to make great strides as more states introduce legislation to facilitate counseling across state lines. Visit our Grassroots Action Center to find out how you can advocate for your state to join, along with helpful information and updates.
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Published: 2/15/2023
NBCC’s Counseling News You Can Use is a new weekly digest that brings together the latest mental health news from various outlets. NBCC curates articles relevant to counselors and mental health professions to ensure that you have easy access to the most current news that impacts your profession and practice.
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Published: 1/19/2023
NBCC participated in the biennial meeting held by the United Nations Educational, Scientific, and Cultural Organization (UNESCO) for UNESCO-recognized nongovernmental organizations. NBCC's work with UNESCO helps to expand global access to counseling and mental health services.
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Published: 12/14/2022
NBCC met with the national association representing payers of behavioral health insurance benefits to discuss increasing the participation of counselors in health plans and managed care networks. This initial meeting laid the groundwork for future collaboration.
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Published: 12/14/2022
A new Medicare rule expands the role of counselors within the program beginning in 2023. It allows counselors to provide services under the general supervision of a physician, whereas direct supervision was previously required.
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Published: 11/9/2022
At the inaugural meeting of the Counseling Compact Commission, delegates selected NBCC as one of four ex-officio (nonvoting) members of the executive committee. NBCC will provide information and resources to the voting members as they establish the commission and carry out its duties.
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Published: 11/9/2022
After many years of advocacy, a federal occupational series will enhance the employment of counselors throughout the government.
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Published: 10/19/2022
Several actions have been taken at the national level in 2021–2022 to expand access to prevention, treatment, harm reduction, and recovery support for Americans affected by the opioid crisis.
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Published: 9/23/2022
Delaware recently became the 17th state to join the Interstate Counseling Compact, and now each member state will appoint a delegate to the newly formed Compact Commission, which will meet for the first time in October.
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Published: 9/23/2022
The Centers for Medicare & Medicaid Services (CMS) has released its proposed Physicians Fee Schedule, which helps determine reimbursement rates. Read more about NBCC’s comments to CMS to include LPCs and increase access to care.
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Published: 8/24/2022
Sens. Jon Tester (D-MT) and Jerry Moran (R-KS), the chair and ranking member of the Senate Veterans Affairs Committee, have requested an update from the Department of Veterans Affairs (VA) and the Office of Personnel Management on the efforts to create the occupational series for LPMHCs and MFTs in the VA.
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Published: 8/24/2022
The Biden administration has implemented new grant programs to address youth mental health issues and strengthen school-based services to help children in need of care. These efforts will also create new opportunities for counselors across the country.
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Published: 7/20/2022
The Safer Communities Act will expand children’s mental health services, strengthen existing federal gun laws, and expand access to Certified Community Behavioral Health Centers (CCBHCs). NBCC summarizes key points and what to expect next.
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Published: 7/20/2022
The Centers for Medicare and Medicaid has proposed a rule change to the 2023 Physician Fee Schedule, which governs payments to professionals who bill Medicare for their services.
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Published: 5/13/2022
In April, Nebraska became the 10th state to join the Counseling Compact, enabling the long-awaited legislation to be enacted so that counselors in its member states can practice within all of those states. Here’s a look at what will happen next in the process.
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Published: 5/13/2022
A new 9-8-8 dialing code will go into effect July 16, 2022, to help improve access to suicide prevention and crisis services, but many states are not yet prepared. By asking your legislators to support the 9-8-8 Implementation Act of 2022 (H.R. 7116), you can help your state receive guidance and resources to establish and streamline its system before the transition.
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Published: 4/13/2022
Communities in the U.S. Virgin Islands and others across the globe, are facing more extensive mental health concerns than ever before due to the pandemic, global unrest, substance disorders, and the multifaceted stressors impacting families.
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Published: 4/13/2022
In March of 2022, the Dr. Lorna Breen Health Care Provider Protection Act (S. 4349) was signed into law. Focused on improving mental health care for counselors and other providers, it includes funding to raise awareness, combat stigma, and prevent suicide and burnout.
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Published: 2/18/2022
In a recent flurry of congressional hearings, mental health experts have renewed calls for increased resources for mental health care, investing in the workforce, expanding access to telehealth, and broadening the continuum of care for individuals in crisis situations.
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Published: 2/8/2022
As NBCC and the MMWHC continue to gain support for the Mental Health Access Improvement Act, now is the time to contact members of Congress to show support for the needs of millions of Medicare recipients who lack access to mental health services.
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Published: 2/8/2022
The U.S. Government Accountability Office has released a report on high-risk populations whose mental health continues to be affected by the pandemic, including children, young adults, and parents.
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Published: 1/26/2022
In November 2021, Rep. Joe Neguse (D-CO-2) and Rep. Brian Fitzpatrick (R-PA-1) introduced H.R. 6076, the Compacts, Access, and Responsible Expansion (CARE) for Mental Health Professionals Act.
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Published: 1/7/2022
The National Defense Authorization Act is legislation that Congress passes each year to make changes to the policies and organization of U.S. defense agencies and provide guidance on how military funding can be spent. Congress uses the NDAA to establish defense priorities, make organizational changes to military agencies, and provide guidance on how funding should be used.
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Published: 1/5/2022
The No Surprises Act was signed into law in December 2020 and contains key provisions that align with the intentional transparency, clarity of processes, and initial disclosures that counselors value. Read our brief summary of key provisions impacting counselors and their practice.
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Published: 1/4/2022
Each year, Congress authorizes mental health programs and services to support service members, military retirees, and their families through the National Defense Authorization Act (NDAA). The recently passed 2022 NDAA (S. 1605) includes mental health care programs and services to address the needs of these individuals.
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Published: 12/8/2021
The Infrastructure Investment and Jobs Act (H.R. 3684) was signed into law through bipartisan action in mid-November with plans for investing in high-speed internet, transportation, the environment, and other aspects of our “built world.” Why is this something that counselors should care about? Because there are significant implications for access to mental health care, counselors, and the counseling profession.
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Published: 10/12/2021
NBCC and the Grassroots network will be taking part in the National Council for Mental Wellbeing’s Hill Day at Home on Oct. 19. We encourage certified counselors to sign up to participate and advocate for the Excellence in Mental Health and Addiction Treatment Act (H.R. 4323/S. 2069) and the Mental Health Access Improvement Act (H.R. 432/S. 828).
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Published: 10/7/2021
On Sept. 14, counselors and mental health advocates across the country came together on Virtual Action Day to help the Medicare Mental Health Workforce Coalition spread the word about the Mental Health Access Improvement Act (H.R. 432/S. 828).
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Published: 9/15/2021
NBCC, along with the Medicare Mental Health Workforce Coalition, counselors, and marriage and family therapists from across the country, participated in the Virtual Action Day on Sept. 14.
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Published: 8/18/2021
Since 2019, it is estimated that more than 90,000 lives have been lost to overdose. Though much has been done by counselors and other health care professionals to try to enhance prevention, treatment, services, and supports, individuals with substance use disorder (SUD) often still face stigma, discrimination, and marginalization within society.
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Published: 7/14/2021
It is essential to the profession that health coverage providers recognize the value of the services provided by the more than 250,000 counselors and marriage and family therapists.
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Published: 6/17/2021
The Mental Health Access Improvement Act of 2021 (S. 828/H.R. 432), continues to build momentum in the Senate. If passed, the proposed legislation would allow mental health counselors and marriage and family therapists to bill Medicare for counseling services.
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Published: 6/17/2021
Licensed counselors continue to watch the progression of the Counseling Compact, an interstate compact that would give state legislators the power to expand portability and protect the public.
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Published: 4/14/2021
With S. 828, the Mental Health Access Improvement Act, recently introduced in the Senate, NBCC and our partners in the Medicare Mental Health Workforce Coalition will continue to build on the momentum from success in the last Congress and hope to gain even more cosponsors.
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Published: 4/14/2021
As state legislatures have been introducing and passing legislation on telehealth and portability, NBCC remains committed to promoting proposals that both preserve educational requirements for counselors and expand portability and telehealth opportunities.
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Published: 3/17/2021
Congress passed another sweeping COVID-19 relief bill. Titled the American Rescue Plan, the legislation was signed into law by President Joe Biden after months of debate in both the House and the Senate.
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Published: 2/10/2021
The Mental Health Access Improvement Act has been reintroduced in the House of Representatives as H.R. 432 by Rep. Mike Thompson (D-CA-5) and Rep. John Katko (R-NY-24).
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Published: 2/10/2021
The federal appropriations process, by which Congress allocates funds for the entirety of the federal government, is getting underway for fiscal year 2022.
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Published: 1/13/2021
Despite months of setbacks and disagreements on the fiscal year 2021 budget, NBCC’s Government & Legislative Affairs team was able to secure funding increases for many of our priority federal programs.
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Published: 12/9/2020
NBCC’s Government and Legislative Affairs Department is preparing to continue pushing for our priority issues in the 117th Congress.
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Published: 11/11/2020
With the recent passing of S. 785, the Commander John Scott Hannon Veterans Mental Health Care Improvement Act, NBCC commits to working with the VA in implementing this important legislation.
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Published: 10/14/2020
Congress has passed a last-minute continuing resolution to keep the government funded through Dec. 11. With the approaching November elections, it is possible that they could pass another continuing resolution to push the negotiation process into early 2021.
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Published: 9/16/2020
NBCC, along with the Medicare Mental Health Workforce Coalition, sent letters urging HHS Secretary Azar and CMS Administrator Verma to include S. 286/H.R. 945 in any list of policy options they present to the president.
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Published: 8/12/2020
The commissioners of the FCC recently unanimously voted to approve 988 as the designated number for the National Suicide Prevention Lifeline. This change is the result of continued work by NBCC and many other mental health organizations to ensure that a three-digit number was created for the National Suicide Prevention Lifeline.
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Published: 8/12/2020
The House Appropriations Committee, Subcommittee on Labor, Health and Human Services, Education, and Related Agencies has released their appropriations bill, which includes substantial increases for several vitally important mental and behavioral health programs.
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Published: 7/15/2020
As the movement toward police reform gains momentum, NBCC advocates for counselor inclusion in proposed legislation regarding mental health response teams.
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Published: 6/10/2020
The Centers for Medicare & Medicaid Services (CMS) recently published a new Public Health Emergency Rule regarding Section 3704 of the CARES Act, passed on March 27. While these changes are set to expire after the COVID-19 Public Health Emergency is lifted, this rule marks significant progress in our fight to expand Medicare.
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Published: 6/10/2020
The Health Resources and Services Administration (HRSA) is requesting feedback from health care providers on two key scoring criteria that they use to develop agency policies. Learn how you can add your voice!
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Published: 5/6/2020
In the wake of the COVID-19 pandemic, many state licensure boards are adopting emergency rules and policies to expand eligibility for telehealth providers.
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Published: 5/4/2020
The Bipartisan Policy Center (BPC) released a report, "Confronting Rural America’s Health Care Crisis," which highlights the need to expand Medicare.
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Published: 3/11/2020
The Commander John Scott Hannon Veterans Mental Health Care Improvement Act (S. 785), was passed unanimously early last month. This bill is a large, sweeping measure that would make many changes to the way the VA currently provides mental health services to veterans.
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Published: 3/11/2020
As Congress begins the FY2021 appropriations process, NBCC continues to prioritize and push for federal spending to include SAMHSA’s Minority Fellowship Program and the Behavioral Health Workforce Education and Training Program.
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Published: 2/12/2020
Conversion therapy, the controversial set of unproven and often harmful treatments that purport to “cure” same-sex attraction, is a practice that counselors and many other medical professionals have fought to ban for decades.
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Published: 1/15/2020
Despite the political challenges of the process, NBCC has successfully secured additional funding for many programs that fund counselor education and workforce development.
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Published: 1/15/2020
NBCC has been working with our partners to inform lawmakers and the public about the Mental Health Access Improvement Act, and we need board certified counselors willing to aid in our communication efforts!
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Published: 12/11/2019
Congress passed a spending bill last month which extended funding until November 21 in an effort to buy more time to come to an agreement on 2020 spending levels.
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Published: 12/5/2019
Lawmakers are leaving Washington for recess and are scheduled to return on January 3 for the Second Session of the 116th Congress.
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