Government Affairs Newsroom

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.


Update on Gender-Affirming Care and State Actions

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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Counseling Compact Commission Holds Annual Business Meeting in Tucson, Arizona

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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Policy and Practice Must Benefit Older Americans

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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2023: The Year in Government Actions

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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NBCC’s Recommendations on Outpatient Payment System Rule Accepted by CMS

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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Proposed Medicare Advantage Rule Includes Counselors in Provider Network Adequacy Standards

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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CMS Releases Final Medicare Physician Fee Schedule Rule

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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Counseling Compact Update

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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NBCC Strongly Supports New Mental Health Parity Requirements on Health Plans

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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NBCC Provides Recommendations on Hospital Outpatient Payment System Rule Affecting Counselors

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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NBCC Commends Centers for Medicare & Medicaid on Proposed Physician Fee Schedule Rule

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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The Medicare Mental Health Workforce Coalition Honors Behavioral Health Champions From Congress

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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Legislative Update: Transgender Rights and Gender-Affirming Care

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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Medicare Coalition Holds 401 Webinar

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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NBCC Recognizes Rep. Neal's Efforts to Include Counselors in Medicare

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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Legislation Impacting Transgender Clients and Communities

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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NBCC Comments on the 2023–2026 SAMHSA Strategic Plan

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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Mental Health Is Focus of President’s Proposed Budget

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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NBCC and the MMHWC Offer Free Webinars on Medicare Coverage

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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VA Premiers Occupational Series for Counselors

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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Counseling Compact Continues Forward Movement in 2023

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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Introducing Counseling News You Can Use

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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NBCC Attends UNESCO Meeting for NGO Partners

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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NBCC and ABHW Work Together to Expand Role of Counselors

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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Medicare Physician Fee Schedule Final Rule Improves Counselor Access

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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Counseling Compact Commission Holds Inaugural Meeting

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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Federal Government Creates Occupational Series for Counselors

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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National Efforts Being Made to Address America’s Opioid Crisis

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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Inaugural Compact Commission Meeting set for October

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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NBCC Submits Comments to CMS on Proposed 2023 Physician Fee Schedule

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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Committee on Veterans’ Affairs Requests Timeline for Creation of Occupational Series

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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New Federal Grant Programs Address Children’s Mental Health Issues

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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Bipartisan Safer Communities Act Includes New Mental Health Funding

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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Centers for Medicare and Medicaid Proposed Regulatory Reforms to Improve Access to Care

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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Ten States Have Enacted the Counseling Compact! So, What’s Next?

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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The 9-8-8 Implementation Act of 2022 (H.R. 7116) Will Help Save Lives

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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NBCC Supports Virgin Islands Counselors to Increase Scope of Practice

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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Dr. Lorna Breen Health Care Provider Protection Act Signed Into Law

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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Recent Hearings Spotlight Growing Access Challenges to Care and Need for Bold Policy Action

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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NBCC and MMHWC Support the Mental Health Access Improvement Act

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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GAO Study Spotlights Mental Health Impact of COVID-19 on Young People

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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Compacts, Access, and Responsible Expansion (CARE) for Mental Health Professionals Act

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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The 2022 National Defense Authorization Act (NDAA) and Mental Health Programs

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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No Surprises Act

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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Mental Health Provisions in the 2022 National Defense Authorization Act

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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Potential Mental Health Impacts of the Infrastructure Investment and Jobs Act

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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Hill Day at Home

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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Advocating for Medicare Recognition

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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NBCC Participates in Virtual Action Day for Medicare

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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H.Res. 349 & International Overdose Awareness Day

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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Mental Health and Wellness for Older Adults: Counselors Are Prepared to Serve

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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Mental Health Access Improvement Act of 2021

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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Counseling Compact Highlights

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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Legislation to Include Counselors in Medicare Introduced in Senate

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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State Legislatures Addressing Telehealth, Portability

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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Congress Passes $1.9 Trillion COVID-19 Relief Legislation

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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Bill to Provide Medicare Coverage for Counselors Reintroduced in the House

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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Appropriations Process for FY 22 Getting Underway

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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NBCC Priority Programs Get Funding Increases

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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As 117th Congress Looms, NBCC Prepares Priorities

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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President Signs Major VA Mental Health Legislation, Focus Turns to Implementation

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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Congress Passes Temporary Spending Bill

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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NBCC Sends Letters to HHS Secretary and CMS Administrator on Medicare Bill, Telehealth

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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FCC Approves 9-8-8 for National Suicide Hotline

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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House Releases Labor-HHS Appropriations Bill

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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Mental Health and Police Reform

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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New CMS Rules Expand Medicare Reimbursement

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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HRSA Requesting Feedback on Health Indicators

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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States Taking Action to Expand Telehealth

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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The Bipartisan Policy Center’s Latest Report

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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Senate Committee Passes Veterans Affairs Legislation

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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Congress Begins Fiscal Year 2021 Appropriations Process

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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States Taking an Active Role in Banning Conversion Therapy

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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Minority Fellowship Program Gets a $1M Increase

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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Interested in Writing an Op-Ed on Medicare Coverage?

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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Congress Passes Another Short-Term Spending Deal

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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Medicare Bill Still in Focus for Second Congressional Session

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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Michigan Passes Legislation to Protect LPC Scope of Practice

Published: 11/13/2019

The Michigan Legislature has passed HB 4325, a bill that clarifies licensure laws while protecting the scope of practice and ability of LPCs in the state to treat and diagnose.

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SAMHSA Launches New Tool for Substance Use Treatment

Published: 11/13/2019

The Substance Abuse and Mental Health Services Administration (SAMHSA) has launched a new tool to help those in need of treatment for substance use disorder locate and access treatment near them.

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As Congress Continues Debates, NBCC Focuses on Funding

Published: 10/16/2019

As Congress debates over federal spending levels, NBCC keeps its focus on working with Congressional partners to secure an increase in funding for SAMHSA’s Minority Fellowship Program.

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Suicide Hotline Plan Advances

Published: 9/11/2019

U.S. Reps. Chris Stewart (R-UT) and Seth Moulton (D-MA) have introduced H.R. 4194, National Suicide Hotline Designation Act of 2019.

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Medicare Legislation Back in Focus as Congress Returns From Recess

Published: 9/11/2019

Congress has returned from a month long August recess and has a full agenda for the rest of the year. Aside from finishing the appropriations process, it is likely Congress will look to pass at least some legislation relating to health care.

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August Recess Presents Grassroots Opportunities for Medicare Legislation

Published: 8/14/2019

Members of the House of Representatives and Senate have left Washington D.C. for their annual summer recess

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Appropriations Process Delayed Until After August Recess

Published: 8/14/2019

The House of Representatives moved forward with its annual appropriations process in the months leading up to the August recess, but the Senate waited until a budget and spending cap deal was struck and signed by the President

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Register for the National Council for Behavioral Health’s Hill Day!

Published: 7/9/2019

NBCC is partnering with the National Council for Behavioral Health (NCBH) for the annual Hill Day in Washington D.C., which allows mental health professionals, including counselors, to visit their senators’ and representatives’ offices and make their voices heard on public policy.

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