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How Policy and Advocacy Shape Behavioral Health Care Systems in New York State
Over the last several years, New York Governor Kathy Hochul has invested over $2 billion in strengthening all aspects of the state's mental health system. Transforming one of the largest public mental health systems in the country requires strategic vision. This process has been informed by...
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Bridging the Gap Between Behavioral Health Policy and Network Reality
On paper, behavioral health coverage in America has never looked better. Parity laws have teeth. A national crisis line exists. New clinic models are reaching communities that waited decades for them. And yet a Senate Finance Committee investigation found that more than 80 percent of mental...
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Closing the Gap Between Care and Outcomes in Behavioral Health Policy
As behavioral health expands access and continues to trend toward more parity with physical health, the focus is moving from just counting how many people get care to asking whether that care is actually improving lives. How behavioral health organizations consistently and clearly answer that...
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Progress Over Perfection—Why Behavioral Health Policy Momentum Must Translate Into Action Now
For too many people seeking behavioral health support, the first step toward care can feel like a dead end. A referral that leads nowhere. A waitlist that stretches for months. A new provider who asks them to recount their story again and again, each retelling reopening wounds at the very moment...
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Showing Up Matters: The Power of Relationship-Based Advocacy in Behavioral Health
Behavioral Health Advocates: Association for Community Living, Coalition of Medication-Assisted Treatment Providers and Advocates of New York State (COMPA), Families Together in New York State, InUnity Alliance, Mental Health Association in New York State, National Alliance on Mental Illness New...
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Telehealth Prescribing Has Proven Its Value. Now Policy Needs to Catch Up
When HHS and DEA announced the fourth extension of telemedicine prescribing flexibilities on January 1, 2026, the news landed without much surprise in behavioral health circles. Clinicians had seen this before, each extension arriving just before the prior one lapsed. By now, the pattern is...
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A Policy Lens on Psychiatric Overprescribing: Federal Priorities and Provider Impact
The U.S. Department of Health and Human Services (HHS) continues to emphasize its commitment to strengthening behavioral health care, including mental health and substance use treatment. In June, the agency announced more than $700 million in new funding to expand access to mental health and...
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New York State Must Intervene in the Behavioral Health Crisis
New York State is in the middle of a behavioral health crisis. Suicide rates are up over 40% in the last 20 years. Overdose rates are almost four times higher than they were in 2010. During this crisis, Medicaid Managed Care Organizations (MCOs) paid by the State are taking hundreds of millions of...
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Caring for Older Adults
We are now eight years into the “elder boom.” Sadly, the implications of this vast demographic shift are still not taken seriously. Yes, there is anxiety about sustaining Social Security and Medicare. And yes, there’s increasing talk about “healthy aging.” But even with these most obvious...
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The NYSPA Report: Taking Stock and Taking Leave
Advocacy must be unending, ongoing work because there is always more to accomplish and always the danger that hard-won gains may be undone. For the past 14 years I have either written or edited the work of guest columnists for the quarterly NYSPA Report in Behavioral Health News (BHN) or in Mental...
