NAADAC Opposes Graham-Cassidy Bill

NAADAC, the Association for Addiction Professionals opposes the "Graham-Cassidy" bill, a renewed effort to repeal and replace the Affordable Care Act (ACA) sponsored by Senators Graham (R-SC) and Cassidy (R-LA).  The Graham-Cassidy bill would repeal major provisions of the ACA by ending guaranteed coverage of substance use disorders and mental health services, and cutting Medicaid, a critical lifeline for millions of Americans with substance use disorders and mental illness.  The Senate could vote on this bill as early as next week.

Along with 469 groups, NAADAC sent the following letter to Senators Graham, Cassidy, Heller, and Johnson to express its opposition to the bill: 

Dear Senator Graham, Senator Cassidy, Senator Heller and Senator Johnson:

The undersigned organizations are writing to share our serious concerns with several of the health system reforms included in the Graham-Cassidy-Heller-Johnson (GCHJ) proposal. We are very concerned that the GCHJ’s proposed changes to our health care system will result in reductions in health care coverage, particularly for individuals with substance use disorders and mental illness, and we cannot support the bill. 

We collectively represent consumers, families, providers, health care and social service professionals, criminal justice professionals, advocates and allied organizations who are committed to meaningful and comprehensive policies to reduce the toll of substance use disorders and mental illness through prevention, treatment and recovery support services. 

In the face of the opioid overdose and suicide epidemics, equitable access to a full continuum of mental health and substance use disorder treatment services, including medications to treat substance use disorders and mental illness, must be an essential component of health care coverage. It is also critical that substance use disorders and mental illness be covered on par with other medical conditions consistent with the Mental Health Parity and Addiction Equity Act (MHPAEA). 

We recognize that the GCHJ would require coverage of mental health and substance use disorder treatment consistent with MHPAEA as part of the new Medicaid Flexibility Program. However, we do not support many of the other changes to the health care system in the proposal that would result in reduced access to substance use disorder and mental health treatment, including changes that would cap federal funding for Medicaid, end the Medicaid expansion, and eliminate mental health and substance use disorder benefit protections for Americans insured through the small group and individual markets. We have serious concerns with provisions in the proposal that would allow states to easily waive Essential Health Benefit requirements, end Medicaid expansion and change Medicaid to a per-capita or block grant financing system. 

The Medicaid expansion in particular has led to significant increases in coverage and treatment access for persons with substance use disorders and mental illness. In states that expanded Medicaid, the share of people with substance use disorders or mental illness who were hospitalized but uninsured fell from about 20 percent in 2013 to 5 percent by mid-2015, and Medicaid expansion has been associated with an 18.3 percent reduction in the unmet need for substance use disorder treatment services among low-income adults. 

Rolling back the Medicaid expansion and/or fundamentally changing Medicaid’s financing structure to cap spending on health care services will certainly reduce access to evidence-based treatments and reverse much or all progress made on the opioid crisis last year. Capping federal Medicaid funding through per-capita caps or block grants would strain state budgets and likely force states to cut benefits, lower provider reimbursement rates, and/or limit access to care. These changes would be devastating to states grappling with the current opioid overdose and suicide epidemics. Moreover, the loss of Medicaid-covered mental health and substance use disorder services for adults would result in more family disruption and out-of-home placements for children, significant trauma which has its own long-term health effects and a further burden on a child welfare system that is struggling to meet the current demand for foster home capacity. 

The ACA’s Medicaid expansion, Essential Health Benefit requirements for mental health and substance use disorder treatment coverage, and extension of parity protections to the individual and small group market have surely reduced the burden of the opioid misuse and overdose and suicide epidemics and saved lives. Substance use disorder and mental health treatment benefits must continue to be available to Americans enrolled in the individual, small and large group markets as well as Medicaid plans and that these benefits are compliant with the Mental Health Parity and Addiction Equity Act

Finally, throughout this process, we implore you to keep in mind how Congressional decisions will affect the millions of Americans suffering from substance use disorders and mental illness who may lose


1. 10,000 beds 

2. Acadia Healthcare 

3. Adcare Educational Institute 

4. Addiction Education Society 

5. Addiction Haven 

6. Addiction Resource Council 

7. Addiction Services Council 

8. Addiction Policy Forum 

9. Addiction Treatment Center of New England 

10. Addiction Connections Resource 

11. Advocates for Recovery Colorado 

12. Advocates, Inc. 

13. Alabama Society of Addiction Medicine 

14. Alano Club of Portland 

15. Alcohol & Addictions Resource Center 

16. Alcohol/Drug Council of North Carolina 

17. Alliance for Strong Families and Communities 

18. Alternatives Unlimited, Inc. 

19. Amesbury Psychological Center, Inc. 

20. American Correctional Association 

21. American Federation of State, County and Municipal, Employees (AFSCME) 

22. American Academy of Addiction Psychiatry 

23. American Art Therapy Association 

24. American Association for Marriage and Family Therapy 

25. American Association for the Treatment of Opioid Dependence (AATOD) 

26. American Association of Child & Adolescent Psychiatry 

27. American Association on Health and Disability 

28. American Dance Therapy Association 

29. American Foundation for Suicide Prevention 

30. American Group Psychotherapy Association 

31. American Medical Student Association 

32. American Mental Health Counselors Association 

33. American Nurses Association 

34. American Psychiatric Association 

35. American Psychological Association 

36. American Society of Addiction Medicine 

37. Amida Care 

38. A New PATH 

39. Anthony's Act 

40. Anxiety and Depression Association of America 

41. Arc of South Norfolk, The 

42. Arise & Flourish 

43. Arizona’s Children Association 

44. Arizona Council of Human Service Providers 

45. Arizona Society of Addiction Medicine 

46. Arkansas Society of Addiction Medicine 

47. Association for Ambulatory Behavioral Healthcare 

48. Association for Behavioral Healthcare of Massachusetts 

49. Association for Community Affiliated Plans (ACAP) 

50. Association for Community Human Service Agencies 

51. Association of Asian Pacific Community Health Organizations (AAPCHO) 

52. Association of Community Mental Health Centers of Kansas, Inc. 

53. Association of Flight Attendants – CWA, AFL-CIO 

54. Association of Persons Affected by Addiction (APAA) 

55. Association of Recovery Schools 

56. Association of Recovery Community Organizations 

57. Association of Women’s Health, Obstetric and Neonatal Nurses 

58. A Stepping Stone to Success 

59. Atlantic Prevention Resources, Inc. 

60. Avanti Wellness 

61. Awakening Recovery 

62. BAMSI 

63. Bangor Area Recovery Network, Inc. 

64. Bay Cove Human Services 

65. Bay State Community Services, Inc. 

66. Bazelon Center for Mental Health Law 

67. Behavioral Health Network, Inc. 

68. Better Life in Recovery 

69. Bill Wilson Center 

70. Boston Alcohol and Substance Abuse Programs, Inc. 

71. Boston Healthcare for the Homeless 

72. Boston Public Health Commission 

73. BreakingTheCycles 

74. Bridge of Central Massachusetts, Inc., The 

75. Bridgewell 

76. Brien Center for Mental Health and Substance Abuse Services, The 

77. Brookline Community Mental Health Center 

78. Bullhook Community Health Center, Inc. 

79. Burke Recovery 

80. CADA of Northwest Louisiana 

81. California Association of Alcohol and Drug Program Executives (CAADPE) 

82. California Consortium of Addiction Programs & Professionals 

83. California Council of Community Behavioral Health Agencies 

84. California Institute for Behavioral Health Solutions 

85. California Society of Addiction Medicine 

86. Cambridge Health Alliance 

87. Camelot Care Centers, Inc. 

88. Cape Cod Healthcare Centers for Behavioral Health 

89. Capital Area Project Vox 

90. Casa Esperanza 

91. Casa Pacifica Centers for Children and Families 

92. Catholic Charities Family Counseling and Guidance Center 

93. Catholic Family Center 

94. Center for Human Development 

95. Center for Open Recovery 

96. Center for Recovery and Wellness Resources 

97. Central City Concern 

98. Chautauqua Alcoholism and Substance Abuse Council 

99. Chicago Recovering Communities Coalition (CRCC) 

100. Child & Family Services, Inc. 

101. Child and Family Services of New Hampshire 

102. Children’s Friend, Inc. 

103. Children’s Home Society of Washington 

104. Children’s Law Center 

105. Children’s Services of Roxbury 

106. CleanSlate Centers 

107. Clergy for a New Drug Policy 

108. Clinical and Support Options, Inc. 

109. Clinical Social Work Association 

110. Coalition of Addiction Students and Professionals Pursuing Advocacy (CASPPA) 

111. Colorado Society of Addiction Medicine 

112. Community Catalyst 

113. Communities for Recovery 

114. Community Anti-Drug Coalitions of America (CADCA) 

115. Community Counseling of Bristol County, Inc. 

116. Community-Minded Enterprises 

117. Community Oriented Correctional Health Services (COCHS) 

118. Community Services Institute 

119. Community Solutions 

120. Community Substance Abuse Centers 

121. Comrades of Hope 

122. Connecticut Community for Addiction Recovery (CCAR) 

123. Connecticut Society of Addiction Medicine 

124. Counselors Obediently Preventing Substance Abuse (COPS) 

125. Cover2Resources 

126. Cutchins Programs for Children and Families 

127. DarJune Recovery Support Services & Café 

128. Dash for Recovery 

129. Davis Direction Foundation - The Zone 

130. DC Fights Back 

131. DC Recovery Community Alliance 

132. Delphi Behavioral Health Group/MHD 

133. Desert Eagle Addiction Recovery 

134. Detroit Recovery Project, Inc. 

135. Dimock Community Health Center 

136. Disability Rights Pennsylvania 

137. Doctors for America 

138. Doctors for Recovery 

139. Dorchester Recovery Initiative 

140. Drug and Alcohol Service Providers Organization of Pennsylvania (DASPOP) 

141. Drug Policy Alliance 

142. Drug Prevention Resources 

143. East Bay Agency for Children 

144. Easy Does It, Inc. 

145. Eating Disorders Coalition 

146. Edinburg Center, The 

147. Eliot Community Human Services 

148. El Paso Alliance 

149. Engaged Recovery Community Services 

150. Faces and Voices of Recovery 

151. Facing Addiction 

152. Family Advocates of Georgia, Inc 

153. Family Focused Treatment Association 

154. Family Service Association 

155. Family Service of Greater Boston 

156. FAVOR Greenville 

157. FAVOR Low Country 

158. FAVOR Mississippi Recovery Advocacy Project 

159. FAVOR Pee Dee 

160. FAVOR Tri-County 

161. FED UP! Coalition 

162. Fellowship Foundation Recovery Community Organization 

163. Fenway Health 

164. FHR 

165. Florida Society of Addiction Medicine 

166. Floridians for Recovery 

167. Foundation for Recovery 

168. Friends of Recovery - New York 

169. FSA – Family Service Agency 

170. Futures of Palm Beach 

171. G III Associates 

172. GAAMHA 

173. Gandara Center 

174. Georgia Council on Substance Abuse 

175. Georgia Society of Addiction Medicine 

176. Georgians for a Healthy Future 

177. Global Alliance for Behavioral Health and Social Justice 

178. Gosnold on Cape Cod 

179. Gould Farm 

180. Granite Pathways 

181. Greater Macomb Project Vox 

182. Greater Philadelphia Association for Recovery Education 

183. Great South Bay Coalition 

184. Greater Cincinnati Recovery Resource Collaborative (GCRRC) 

185. Griffin Recovery Enterprises 

186. Harm Reduction Coalition 

187. Health Management Group, LTD 

188. High Point Treatment Center 

189. Hillview Mental Health Center, Inc. 

190. HIV Medicine Association 

191. Home for Little Wanderers, The 

192. Hope2Gather Foundation 

193. HOPE for New Hampshire Recovery 

194. Hope House Addiction Services 

195. Horizon Health Services 

196. IC&RC 

197. Indivisible St. Louis 

198. Illinois Association for Behavioral Health 

199. Illinois Association of Rehabilitation Facilities (IARF) 

200. Indiana Society of Addiction Medicine 

201. International Nurses Society on Addictions 

202. Institute for Health and Recovery 

203. Iowa Association of Community Providers 

204. Iowa Behavioral Health Association 

205. Italian Home for Children, Inc. 

206. Jackson Area Recovery Community 

207. Jewish Family and Children’s Services (JF&CS) 

208. Joint Coalition on Health 

209. Jordan's Hope for Recovery 

210. Judge Baker Children’s Center 

211. Juneau Recovery Community 

212. Justice Resource Institute (JRI) 

213. Ka Hale Pomaika'i 

214. Kentucky Society of Addiction Medicine 

215. KEY Program, Inc., The 

216. Kyes 2 a 2nd Chance 

217. Lahey Health Behavioral Services 

218. Lakeshore Foundation 

219. Latah Recovery Center 

220. Legal Action Center 

221. Lifehouse Recovery Connection 

222. Lifeline Connections 

223. Long Island Council on Alcoholism and Drug Dependence, Inc. 

224. Long Island Recovery Association (LIRA) 

225. Lost Dreams Awaken Center, Inc. 

226. Lotus Peer Recovery/SoberKerrville 

227. Lowell Community Health Center, Inc. 

228. Lowell House, Inc. 

229. LUK, Inc. 

230. Madison County Council on Alcoholism & Substance Abuse 

231. Magnolia Addiction Support 

232. Maine Alliance for Addiction Recovery 

233. Mariah’s Mission Fund of the Mid-Shor Community Foundation 

234. Mark Garwood SHARE Foundation 

235. Martha’s Vineyard Community Services 

236. Maryland-DC Society of Addiction Medicine 

237. Maryland House Detox 

238. Maryland Recovery Organization Connecting Communities (M-ROCC) 

239. Massachusetts Organization for Addiction Recovery (MOAR) 

240. Massachusetts Society of Addiction Medicine 

241. Maxed Out Drug Prevention 

242. McShin Foundation 

243. Mental Health Association 

244. Message Carriers of Pennsylvania, Inc. 

245. Messengers of Recovery Awareness 

246. MHA of Greater Lowell 

247. Michigan's Children 

248. Michigan Recovery Voices 

249. Michigan Society of Addiction Medicine 

250. Middlesex Human Service Agency, Inc 

251. Mid-Michigan Recovery Services, Inc. 

252. Midwest Society of Addiction Medicine 

253. Mi-HOPE - Michigan Heroin & Opiate Prevention and Education 

254. Minnesota Association of Community Mental Health Programs (MACMHP) 

255. Minnesota Recovery Connection 

256. Minnesota Society of Addiction Medicine 

257. Missouri Recovery Network 

258. MOBER 

259. Mountain View Prevention Services, Inc. 

260. NAADAC – the Association for Addiction Professionals 

261. National Alliance for Medication-Assisted Recovery (NAMA) 

262. National Alliance for Recovery Residences 

263. National Alliance on Mental Illness 

264. National Alliance on Mental Illness – San Mateo County 

265. National Alliance to Advance Adolescent Health 

266. National Alliance to End Homelessness 

267. National Association for Rural Mental Health 

268. National Association of Addiction Treatment Providers 

269. National Association of Clinical Nurse Specialists 

270. National Association of Pediatric Nurse Practitioners 

271. National Association of Social Workers (NASW) 

272. National Association of State Mental Health Program Directors (NASMHPD) 

273. National Association for Children’s Behavioral Health 

274. National Association for Rural Mental Health 

275. National Association of County Behavioral Health and Developmental Disability Directors 

276. National Association of County & City Health Officials 

277. National Association of Social Workers (NASW) 

278. National Black Justice Coalition 

279. National Council for Behavioral Health 

280. National Center on Addiction and Substance Abuse 

281. National Council on Alcoholism and Drug Dependence 

282. National Council on Alcoholism and Drug Dependence of E. San Gabriel & Pomona Valleys 

283. National Council on Alcoholism and Drug Dependence--Greater Phoenix 

284. National Council on Alcoholism and Drug Dependence – Maryland 

285. National Council on Alcoholism and Drug Dependence – San Diego 

286. National Council on Alcoholism and Drug Dependence of the San Fernando Valley 

287. National Council on Alcoholism and Drug Abuse-St. Louis Area 

288. National Disability Rights Network 

289. National Federation of Families for Children’s Mental Health 

290. National Health Care for the Homeless Council 

291. National League for Nursing 

292. National Safety Council 

293. National Viral Hepatitis Roundtable 

294. Navigate Recovery Gwinnett 

295. Nevada Society of Addiction Medicine 

296. New Futures and New Futures Kids Count 

297. New Jersey Association of Mental Health and Addiction Agencies, Inc. 

298. New Jersey Society of Addiction Medicine 

299. New Life Counseling & Wellness Center, Inc. 

300. New Mexico Society of Addiction Medicine 

301. New York Association of Psychiatric Rehabilitation Services 

302. New York Society of Addiction Medicine 

303. New York State Council for Behavioral Health 

304. NFI Massachusetts, Inc. 

305. NMSAS Recovery Center 

306. No Health without Mental Health 

307. North Charles, Inc. 

308. North Cottage Program, Inc. 

309. Northeast Center for Youth and Families, The 

310. Northern New England Society of Addiction Medicine 

311. Northern Ohio Recovery Association (NORA) 

312. Northwest Indian Treatment Center 

313. North Suffolk Mental Health Association, Inc. 

314. Northern Rivers Family Services 

315. North Carolina Society of Addiction Medicine (NCSAM) 

316. O’Brien House 

317. Ohio Recovery Housing 

318. Ohio Society of Addiction Medicine (OHSAM) 

319. Oklahoma Citizen Advocates for Recovery & Treatment Association (OCARTA) 

320. Old Colony YMCA 

321. Open Doorway of Cape Cod 

322. Opportunity House, Inc 

323. Oregon Recovery High School 

324. Oregon Society of Addiction Medicine 

325. Overcoming Addiction Radio 

326. Parity Implementation Coalition 

327. Partnership for Drug-Free Kids 

328. Partners in Prevention/National Council on Alcoholism and Drug Dependence of Hudson County, Inc. 

329. P.E.E.R Wellness Center, Inc. 

330. PEER360 Recovery Alliance 

331. Pennsylvania Recovery Organization - Achieving Community Together - (PRO-ACT) 

332. Pennsylvania Recovery Organizations Alliance (PRO-A) 

333. Pennsylvania Society of Addiction Medicine 

334. People Advocating Recovery - PAR 

335. Phoenix Houses of New England 

336. Phoenix Multisport Boston 

337. Pine Street Inn 

338. Pivot, Alcohol and Substance Abuse Council of Jefferson County, Inc. 

339. PLR Athens 

340. Pretrial Justice Institute 

341. Prevention Network OCAA 

342. Psychiatric Rehabilitation Association 

343. Putnam Family & Community Services, Inc. 

344. RASE Project 

345. REAL- Michigan (Recovery, Education, Advocacy & Leadership) 

346. Recover Project/Western MA Training 

347. Recovery Allies Of West Michigan 

348. RecoveryATX 

349. Recovery Café Seattle 

350. Recovery Community Foundation of Forsyth 

351. Recovery Communities of North Carolina 

352. Recovery Community of Durham 

353. Recovery Consultants of Atlanta 

354. Recovery Data Solutions 

355. Recovery - Friendly Taos County 

356. Recovery Idaho, Inc. 

357. Recovery is Happening 

358. RecoveryNC (Governors Institute on Substance Abuse) 

359. Recovery Point at HER Place 

360. Recovery Point of Bluefield 

361. Recovery Point of Charleston 

362. Recovery Point of Huntington 

363. Recovery Point of Parkersburg 

364. Recovery Point of West Virginia 

365. Recover Wyoming 

366. reGROUP 

367. Rhode Island Communities for Addiction Recovery Efforts (RICAREs) 

368. Riverside Community Care 

369. Robby’s Voice 

370. ROCovery Fitness 

371. Rockland Council on Alcoholism and Other Drug Dependence, Inc. 

372. Sandusky Artisans Recovery Community Center 

373. Sandy Hook Promise 

374. Serenity Sistas 

375. ServiceNet 

376. Shatterproof 

377. SMART Recovery 

378. S.O.A.R™ Yoga (Success Over Addiction and Relapse) 

379. Solano Recovery Project 

380. Solutions Recovery, Inc. 

381. Sonoran Prevention Works 

382. South Arkansas Regional Health Center, Inc 

383. Sound Community Services, Inc. 

384. South Middlesex Opportunity Council, Inc. (SMOC) 

385. South Bay Community Services 

386. South Carolina Society of Addiction Medicine 

387. South Central Human Relations Center 

388. South End Community Health Center 

389. South Shore Mental Health 

390. Southwest Washington Recovery Coalition 

391. Spectrum Health Systems, Inc. 

392. SpiritWorks Foundation 

393. Springfield Recovery Community Center 

394. Springs Recovery Connection 

395. SSTAR 

396. STEP Industries 

397. Steppingstone, Incorporated 

398. Steve Rummler Hope Network 

399. Student Assistance Services Corp 

400. Substance Use and Mental Health Leadership Council of Rhode Island 

401. Technical Assistance Collaborative, Inc. 

402. Tennessee Society of Addiction Medicine 

403. Texas Society of Addiction Medicine 

404. The Addict’s Parents United (TAP United) 

405. The Alliance 

406. The Ammon Foundation 

407. The Bridge Foundation 

408. The Bridge Way School 

409. The Campaign for Trauma-Informed Policy and Practice 

410. The Chris Atwood Foundation 

411. The Council on Alcohol and Drug Abuse 

412. The Council on Alcohol & Drug Abuse for Greater New Orleans 

413. The DOOR - DeKalb Open Opportunity for Recovery 

414. The Global Alliance for Behavioral Health and Social Justice 

415. The Kennedy Forum 

416. The Ohana Center 

417. The Peggie & Paul Shevlin Family Foundation 

418. The Recovery Channel 

419. The Rest of Your Life 

420. The Trevor Project 

421. The Village Family Services 

422. The Village Project, Inc. 

423. There Is No Hero In Heroin Foundation 

424. Tia Hart Recovery Community Program 

425. T.O.R.C.H Inc. 

426. Toward Independent Living and Learning, TILL, Inc. 

427. Transforming Youth Recovery 

428. Treatment Communities of America 

429. Trilogy Recovery Community 

430. True Recovery, LLC 

431. Trust for America’s Health 

432. Turning Point Center of Central Vermont 

433. Two Guys and a Girl 

434. UMass Memorial Community Healthlink, Inc. 

435. United Methodist Church - General Board of Church and Society 

436. Utah Support Advocates for Recovery Awareness (USARA) 

437. Valley Hope 

438. Veterans Inc. 

439. Vermont Council of Developmental and Mental Health Services 

440. Vermont Recovery Network 

441. Victory Programs, Inc. 

442. Vinfen 

443. Virginia Association of Recovery Residences 

444. Voice for Adoption 

445. Voices of Hope for Cecil County 

446. Voices of Recovery San Mateo County 

447. Volunteers of America of Massachusetts, Inc. 

448. WAI-IAM, Inc. and RISE Recovery Community 

449. Walker, Inc. 

450. Washtenaw Recovery Advocacy Project (WRAP) 

451. Washington Federation of State Employees 

452. Washington Recovery Alliance 

453. Washington Society of Addiction Medicine 

454. Watershed Treatment Programs 

455. Wayside Youth & Family Support Network 

456. WEConnect 

457. Wellspring Recovery Services 

458. West Virginia Society of Addiction Medicine 

459. WholeLife Recovery Community/ Arizona Recovery Coalition 

460. Wisconsin Recovery Community Organization (WIRCO) 

461. Wisconsin Society of Addiction Medicine 

462. Wisconsin Voices for Recovery 

463. Wyoming County CARES 

464. Yoga of Recovery 

465. Young Invincibles 

466. Young People in Recovery 

467. Young People in Recovery – Los Angeles 

468. Youth Opportunities Upheld, Inc. 

469. Youth Villages 

Media Contact
Jessica Gleason
703.741.7686 x 130

NAADAC, the Association for Addiction Professionals, represents the professional interests of more than 95,000 addiction counselors, educators and other addiction-focused healthcare professionals in the United States, Canada, and abroad. NAADAC’s members are addiction counselors, educators, and other addiction-focused health care professionals, who specialize in addiction prevention, treatment, recovery support, and education. An important part of the healthcare continuum, NAADAC members, and its 47 state affiliates work to create healthier individuals, families and communities through prevention, intervention, quality treatment and recovery support.

Posted by Jessica Gleason at 11:35 PM
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