Journal Article Impact of ACA Health Reforms for People With Mental Health Conditions
Adele Shartzer
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Objective:
This brief report explores the impact of health reform for people with mental illness.

Methods:
The Health Reform Monitoring Survey was used to examine health insurance, access to care, and employment for 1,550 people with mental health conditions pre- and postimplementation of the Affordable Care Act (ACA) and by state Medicaid expansion status. Multivariate logistic regressions with predictive margins were used.

Results:
Post-ACA reforms, people with mental health conditions were less likely to be uninsured (5% versus 13%; t=−6.89, df=50, p<.001) and to report unmet need due to cost of mental health care (17% versus 21%; t=−3.16, df=50, p=.002) and any health services (46% versus 51%; t=−3.71, df=50, p<.001), and they were more likely to report a usual source of care (82% versus 76%; t=3.11, df=50, p=.002). These effects were experienced in both Medicaid expansion and nonexpansion states.

Conclusions:
Findings underscore the importance of ACA improvements in the quality of health insurance coverage.

External Link:
https://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.201700044

Research Areas Health and health care
Tags Health insurance Federal health care reform
Policy Centers Health Policy Center