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New CCBHC Senate Bill, Op-Ed Published 

In case you missed it, we’re pleased to share a newly published opinion editorial authored by National Council President & CEO Chuck Ingoglia, encouraging lawmakers to support a new CCBHC bill recently introduced in the Senate.


 Excellence in Mental Health Act Will Increase Access for Everyone

By Chuck Ingoglia, Opinion Contributor - 1/07/26

Across the country, our behavioral health system is straining under a severe workforce shortage, leaving millions of people without access to comprehensive mental health and substance use care. Too many individuals and families are left waiting — or going without support entirely — at a time when needs are rising.

Amid these challenges, a group of senators is demonstrating real leadership by advancing policies that would strengthen our nation’s behavioral health infrastructure. One of the most impactful solutions they are championing is the expansion of Certified Community Behavioral Health Clinics.

These clinics are transforming mental health and substance use treatment in hundreds of communities across the country by providing comprehensive, 24/7 access to care — including crisis services — regardless of ability to pay.

They coordinate care, strengthen the behavioral health workforce and ease the massive pressures on emergency departments and law enforcement, which have become de facto responders to mental health and overdose emergencies.

A bipartisan coalition of senators has presented a solution to enable more people to access the comprehensive care offered by these game-changing clinics.

The Ensuring Excellence in Mental Health Act, introduced by Sens. John Cornyn (R-Texas), Tina Smith (D-Minn.), Thom Tillis (R-N.C.) and Catherine Cortez Masto (D-Nev.), would take a major step toward ensuring that even more communities can benefit right now from this successful model of care. The legislation advances several core priorities:

  • Better access for older adults: By establishing Certified Community Behavioral Health Clinics as a provider type under Medicare, the bill makes it easier for older adults to access comprehensive behavioral health services, while improving workforce sustainability.
  • Deeper care integration: The act would give these clinics the option to provide additional primary care services, which would help them deliver whole-person care.
  • Continued expansion and sustainable support: The act will help states expand services, grow workforce capacity and ensure technical assistance is available to help clinics not just succeed, but thrive.
  • We know they work — not in theory, but in practice. More than 500 Certified Community Behavioral Health Clinics across 48 states and territories serve an estimated 3 million children, adults and families. The data from these clinics shows these clinics are dramatically improving access to care.
  • Timely connection: More than 80 percent of these clinics see clients for routine needs within 10 days of the initial call, a stark contrast to the national average of 48 days.
  • Increased services: Certified Community Behavioral Health Clinics have seen a 33 percent increase in the number of people served. And 60 percent report an increase in the number of individuals engaged in medication-assisted treatment, a critical tool for treating disorders including opioid use disorder.
  • Reaching more people: Over 80 percent of these clinics have expanded programs to reach veterans and people experiencing homelessness.
  • Stronger workforce, more jobs: Through stable funding, Certified Community Behavioral Health Clinics have reported increased hiring, adding a median of 22 new positions per clinic. This means more people can be seen, and it spurs job growth in the community.

They also offer resources and care to treat the whole person. For example, the Healthy for Life program at LifeWays, in Michigan, empowers people through nutrition education, personal fitness coaching and healthy-eating classes. LifeWays, and clinics like it, also helps reduce homelessness and ease the instability that so often fuels mental health crises. These clinics are innovative, community-rooted, and successful in reaching people long left behind by the traditional system.

Through standardized data reporting, annual cost reports providing a detailed view of clinics’ expenditures and regular community needs assessments, the model provides a level of transparency that supports performance and financial monitoring along with quality improvement — allowing the public to see exactly how these clinics deliver results.

And they truly do deliver. Certified Community Behavioral Health Clinics decrease emergency room visits by 55 percent, reduce mental health care hospitalizations by 55 percent, and have even lowered incidents of homelessness measured in the previous 30 days by 31 percent.

We thank Congress for prioritizing improving access to mental health and substance use care. This is an important bill that will help sustain access to comprehensive care for the nearly 4 million already served by them and help to give millions more people a real path to wellbeing. If you or someone you know may be considering suicide, contact the 988 Suicide & Crisis Lifeline: Call or text 988 or chat 988lifeline.org.

 

House Passes Legislation to restore the ACA Premium Subsidies

Seventeen Republicans joined Democrats in passing legislation Thursday that would revive enhanced Affordable Care Act subsidies for three years, rebuffing opposition from GOP leadership.  The 230-196 vote follows a procedural vote Wednesday to advance the bill, where nine Republicans joined Democrats in favor of moving forward. From Ohio, Representative Max Miller was part of the group of nine Republicans that supported the procedural vote, and he was joined by Rep. Mike Carey and David Joyce in passing the measure.

The bill is not expected to pass in the Senate, but a bipartisan group of senators is working on a compromise bill that would still extend subsidies. Ohio Senator Bernie Moreno said the bill text could be released as early as Tuesday.

Source: 17 Republicans Vote to Restore Lapsed Obamacare Subsidies

 

CMS Awards Rural Health Transformation Program Funding; ODH releases RFPs to Begin Implementation

The Centers for Medicare and Medicaid Services (CMS) announced the Rural Health Transformation (RHT) Program funding awards to all 50 states. Ohio will receive a total of $202,030,262, the 25th highest total amount. However, according to an analysis by the Health Policy Institute of Ohio (HPIO), Ohio was awarded one of the lower amounts, coming in as the 46th-most funding per rural resident.

As a reminder, the RHT program was created as part of the HR 1, also known as the One Big Beautiful Bill Act, that was signed into law on July 4, 2025. The RHT will allocate $50 billion to states over five years, with half the award evenly distributed across all 50 states and half of the award based on state-submitted applications.  States will need to demonstrate efforts to achieve the RHT application deliverables in coming years to continue to receive fundings as outlined in the legislation. CMS also announced the creation of a federal Office of Rural Health Transformation that will be led by Alina Czekai. 

Governor DeWine has designated the Ohio Department of Health as the lead agency for the RHT program.  You can find Ohio’s RHT application and resources here and you can sign up to receive notifications about RHT program activities.  This week, ODH has released two RFPs through OhioBuys to begin implementation of Ohio’s RHT program.  Information on those RFPs and the corresponding bidders conference are included below.

Rural Health Workforce Pipeline; Pathways Upskilling and Retention RFP
Bidders Conference:  1/13/2026 at 1:30 PM via Microsoft Teams

Rural Health Transformation Pharmacy Initiative 59680-RFP
Bidder Conference:  1/20/2026 at 11:00AM via Microsoft Teams

 

QPR Training Opportunity

The Ohio Suicide Prevention Foundation was awarded a grant from the Ohio Department of Health (ODH) that will allow them to train healthcare providers (including non-clinical staff) in QPR in the high-burden counties identified by ODH. The following 10 counties are considered priority for this training:

  • Lucas
  • Lorain
  • Cuyahoga
  • Summit
  • Mahoning
  • Richland
  • Marion
  • Clark
  • Montgomery
  • Hamilton

The attached flyer outlines the details of the training. Trainings can be virtual or in person. If you are located in one of the counties above and interested in scheduling a QPR training for your staff, contact Jason Hughes [email protected].

 

Ohio Becomes the 3rd State to Grant Counseling Compact Privileges 

The American Counseling Association (ACA) is thrilled to announce that Ohio is the latest state to begin granting privileges under the Counseling Compact, marking another significant milestone in expanding access to mental health care. This exciting development means licensed professional counselors in Ohio can now practice across state lines, helping to bridge gaps in care and bring vital services to communities in need. ACA celebrates this progress as part of its ongoing commitment to supporting counselors and improving access for millions of Americans. Ohio is the third state to grant privileges under the Compact, joining Arizona and Minnesota.

Working with the National Center for Interstate Compacts and other partners, ACA played a lead role in the creation of the Compact, investing close to $2 million in the initiative. In addition, thousands of individual counselors dedicated energy, passion and countless hours to get compact legislation passed in their local communities. To date, 38 states and the District of Columbia have ratified the interstate agreement.

The compact is a legislative agreement among participating states that allows professional counselors to practice across state lines either in person or via telehealth. It is a mutual recognition model that functions much like a driver’s license — participating states agree to recognize the license of all eligible counselors from other compact states, allowing them a privilege to practice. Previously, counselors have had difficulty transferring their licenses from one state or jurisdiction to another because of the independent nature of jurisdictional licensing rules and regulations. There was little consistency regarding the requirements for licensure, and these varying requirements make it difficult to transfer one’s license.

"The ability to practice across state lines is essential in meeting the mental health needs of so many Americans, especially those who are located in remote and rural areas where we often see a dearth of professional counselors," said ACA President Elsa Soto Leggett, PhD, LPC-S, RPT-S, CSC. "This compact helps to close that gap, giving more people access to professional counseling services, including the estimated 122 million people in the U.S. who live in areas with mental health provider shortages."

States and jurisdictions that have passed Counseling Compact legislation include: Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, Florida, Georgia, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and Washington, D.C.

To learn more, visit the ACA website and watch this video interview with ACA's Lynn Linde on what counselors can expect going forward.

About the American Counseling Association

Founded in 1952, the American Counseling Association (ACA) is a not-for-profit, professional and educational organization that is dedicated to the growth and enhancement of the counseling profession. ACA represents more than 60,000 members and is the world’s largest association exclusively representing professional counselors in various practice settings. Driven by the belief that all people can benefit from the power of counseling, ACA’s mission is to promote the professional development of counselors, advocate for counselors, and ensure that ethical, culturally inclusive practices protect our members’ clients and all people who seek counseling services. For more information, visit the ACA website and follow them on Facebook, LinkedIn, InstagramThreadsBlueSky and YouTube.

 
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