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Public Polling

Fabrizio/Ward [4/11/25]
- An overwhelming majority of voters \u2013 including more than half of Trump voters \u2013 are opposed to Congressional proposals to cut Medicaid.
NAMI/Ipsos [4/3/25]
- Americans say that Medicaid should be expanded to help people access mental health care, not cut. Three in four adults (75%) agree that Medicaid should be expanded to increase access to affordable mental health care \u2014 and 74% agree, including across party lines, that Medicaid expansion has helped improve access to affordable mental health care in states that implemented it.

District-Level Medicaid Data

Download factsheets for each state/congressional district.
- Select state/district from drop down menu

Topic-Specific

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Protect Access to Care through Medicaid Call Script Template

\u201cHello. My name is [NAME] and I live in [Town/City], [State]. [Provide a very short (1-2 sentence) introduction to who you are, which should establish any relevant identities you\u2019d like to share (your life experience, work experience, etc.) and any other relevant people in your story].

\u201cI am calling because I know the House budget resolution directs the committee overseeing Medicaid to cut nearly $900 billion in funding, and I am worried about the catastrophic impacts that will have on our community.

\u201cOur organization primarily provides mental health and substance use care and services for people covered by Medicaid, as well as people who may not have any health coverage at all. If the scale of these proposed cuts is realized, thousands in our community will likely lose access to health care.

\"We also rely on Medicaid funding to reimburse us the cost of providing that care \u2013 if this funding was significantly reduced and many people lost access to their coverage, we would struggle to keep our doors open for our community and people would lose vital access to care.

\u201cI am calling to urge you to work to stop proposals that would cut Medicaid funding and reduce coverage. Medicaid is the largest provider of mental health and substance use care in the country. It allows children, seniors, people with disabilities, pregnant people, and adults with low incomes to access lifesaving care, when and where they need it. Our country is still dealing with a devastating mental health and overdose crises \u2013 now is not the time to reduce access to care.

\u201cIn [State], Medicaid covers [# of people], [X%] of whom are children. It also plays a significant role in our local and state economy by keeping community provider organizations open, supporting job growth, and ultimately saving taxpayer dollars. Significantly reducing federal Medicaid spending would likely create a significant new burden on our state budget, while forcing organizations like ours to potentially lay off staff, harming our economy.

\u201cWill [Representative OR Senator] [Last Name] vote \u201cno\u201d on cuts to Medicaid and other programs to make sure your constituents can get the care they need?\u201d

[IF NO ANSWER/ANSWERING MACHINE]: Provide your contact phone number and ask them to call you back as soon as possible.
[IF YES]: Thank them for their support!
- \u201cThank you for your support for Medicaid and the thousands of people across our state who rely on this coverage to access care. I appreciate you taking this call and any actions you can take to protect access to Medicaid and other vital programs from cuts going forward.\u201d

[IF NOT SURE/NONCOMMITTAL] Ask them what factors they are considering when thinking about the budget reconciliation process? What are their priorities? When do they expect to make a decision about whether or not they will vote to protect Medicaid?
- \u201cI appreciate your time and consideration. Thank you for taking this call and for any actions you can take to protect vital health care programs from cuts. I will follow up with your office.\u201d
[IF NO]: Ask them for specifics about how they reached their decision. Take notes. This information can be used later for accountability actions.
- \u201cI am disappointed to learn of your decision and am concerned for the thousands of people in our state who stand to lose coverage if these cuts are implemented. These cuts will have devastating consequences for the individuals and families who need care most. A vote in favor of them is not a vote for your constituents.\u201d

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Despite overwhelming need, nearly 30 million people across the U.S. don\u2019t have access to affordable, comprehensive mental health and substance use treatment. That\u2019s where we come in.

We are guided by our vision that mental wellbeing \u2014 including recovery from substance use \u2014 is a reality for everyone, everywhere. It\u2019s who we are. It\u2019s what we do.

To quote the late Sen. Everett Dirksen, \u201cWhen I feel the heat, I see the light.\u201d Join us, and we'll raise our voices together to illuminate a bright future for mental wellbeing.

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A Certified Community Behavioral Health Clinic (CCBHC) is a specially-designated clinic that provides a comprehensive range of mental health and substance use services. CCBHCs serve anyone who walks through the door, regardless of their diagnosis and insurance status.

CCBHCs are nonprofit organizations or units of a local government behavioral health authority. They must provide nine types of services, either directly or by contracting with partner organizations, with an emphasis on providing 24-hour crisis care, evidence-based practices, care coordination with local primary care and hospital partners, and integration with physical health care.

CCBHCs dramatically increase access to care, expand state\u2019s capacity to address the overdose crisis, reduce mental health-related hospitalizations, help address the workforce shortage, and create innovative partnerships with law enforcement, schools, and hospitals to improve care.

Today, more than 500 Certified Community Behavioral Health Clinics and CCBHC grantees are operating in 46 states, plus the District of Colombia and Puerto Rico.

Learn more about these innovative clinics and take action to urge your elected officials to establish the model further as a permanent part of our health care landscape. Together, we can expand access to comprehensive mental health and substance use care, when and where people need it.

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\ufeffWe advocate for initiatives that improve reimbursement rates, support value-based contracting, remove barriers to employment and reimbursement, increase workforce diversity, recruitment, and retention and create a pipeline for the future workforce.

"}, "widgetType": 4}, {"props": {"title": "Bolster substance use disorder prevention, care, and recovery", "content": "

We advocate for policies that expand access to medication-assisted treatment, overdose prevention, and recovery supports.

"}, "widgetType": 4}, {"props": {"title": "Protect and grow funding for mental health awareness training programs", "content": "We advocate for continued support for awareness training programs such as Mental Health First Aid, and prevention and treatment initiatives including recovery and housing supports. "}, "widgetType": 4}, {"props": {"title": "Increase equitable access to high-quality services through CCBHCs", "content": "We support expansion of Certified Community Behavioral Health Clinics (CCBHCs), including advocating for ongoing SAMHSA grant support, further establishing CCBHCs in the Social Security Act, and providing adequate funding for data collection. "}, "widgetType": 4}, {"props": {"title": "Promote comprehensive 988 implementation", "content": "We fight to ensure a robust crisis care continuum, including enhanced mobile crisis response, coordination with CCBHCs, sustainable funding, and a strong workforce. "}, "widgetType": 4}, {"props": {"title": "Elevate initiatives impacting justice involved populations ", "content": "We advocate for policies that focus on helping prevent individuals that are dealing with a mental health or substance use challenge from entering the criminal justice system, pre-entry, care while in the system, re-entry and warm handoffs, and recidivism prevention. "}, "widgetType": 4}, {"props": {"title": "Support mental health and substance use disorder parity", "content": "We support parity implementation and enforcement, including consideration of enforcement mechanisms. "}, "widgetType": 4}, {"props": {"title": "Expand access to telehealth", "content": "We advocate for expanding access to high-quality, effective mental health and substance use care via telehealth. "}, "widgetType": 4}, {"props": {"title": "Support youth and maternal mental health and substance use prevention and treatment", "content": "We fight for policies including school-based initiatives that support mental health awareness and increased coverage for prenatal and postnatal care. "}, "widgetType": 4}, {"props": {"title": "Address social determinants of health", "content": "We advocate for initiatives that improve access to supportive housing, including re-entry and recovery housing and additional community support. "}, "widgetType": 4}], "requires_login": false, "widget_layout_type": 20, "custom_javascript": "", "custom_css": "", "disclaimer_text": "", "use_page_region": false, "can_access": true, "cannot_access_message": null}, {"id": 9129, "archived": false, "name": "About Us", "action_center": 2685, "path": "/about_us/", "title": "", "page_restriction_type": 1, "widgets": [{"props": {"title": "About Us", "content": "

We are the National Council for Mental Wellbeing, a 501(c)(3) association and the unifying voice of organizations that deliver mental health and substance use recovery services in America.

\ufeff

Who We Are

\ufeffThe National Council for Mental Wellbeing is a membership organization that drives policy change on behalf of more than 3,400 mental health and substance use treatment organizations and the more than 10 million children, adults and families they serve. We advocate for policies to ensure access to high-quality services. We build the capacity of mental health and substance use treatment organizations. And we promote greater understanding of mental wellbeing as a core component of comprehensive health and health care. Through our Mental Health First Aid (MHFA) program, we have trained more than 3 million people in the U.S. to identify, understand and respond to signs and symptoms of mental health and substance use challenges.

What We Do

We are more than a nonprofit. We are a thought leader, solutions provider and leading voice on Capitol Hill with a 55-year history of driving policy change. We are fighting for a stronger, better-funded, more integrated approach to mental health and substance use care by advocating for lifesaving legislation, strengthening the substance use and mental health safety-net system, investing in provider capacity and increasing mental health literacy.

What is Mental Wellbeing?

It\u2019s a state of thriving. It is the foundation of living a strong, healthy and fulfilling life. We believe that mental wellbeing can be reached by anyone, including people living with or recovering from a mental health or substance use challenge.

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What is Hill Day at Home?

Hill Day at Home is your opportunity to urge lawmakers to support mental health and substance use treatment initiatives from your computer, without ever leaving the comfort of your home or office.

The Virtual Policy Institute Returns for 2023

In 2020, we introduced the Virtual Policy Institute -- a four-hour long learning event with keynote speakers, legislative updates, immersive breakout sessions and more. Over the last three years, more than 4,000+ attendees from all 50 states and 25+ partner organizations united online in support of mental wellbeing.

Our Legislative Asks

This year the National Council will have four legislative focus areas each with their own bills attached. This year we will be focusing on, the substance use and overdose epidemic, advancement of Certified Community Behavioral Health Clinics, bolstering the crisis care continuum and 9-8-8 Suicide and Crisis Lifeline services, and alleviating the behavioral health and substance use treatment workforce crisis.

Why Does Hill Day at Home Matter?

For years, we have demonstrated that when we speak to Congress with one unified voice, we can make lasting impact in the lives of those living with mental health and substance use challenges.

During Hill Day at Home, we use our collective influence to persuade our elected officials to support critically important legislation that will help improve access to comprehensive mental health and substance use care for those who need it most

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