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Topics: Medicaid, Medicare, Mental Health, Substance Abuse, Older Americans Act By: Brittany, Kolicia, Melody, Rachel, Victoria

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Brittany Thomas

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Who initiated the policy? What is Medicaid? What is the roles of government? Kaiser Family Foundation, 2009

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REPUBLICANDEMOCRATIC Repeal of the health care law Increasing the coverage Goodnough, 2012 New York Times, 2012

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Virginia in 2009EnrolleesExpenditures Disabled15%43% Elderly10%23% Adults26%14% Children49%21% Total: 62.6 million peopleTotal: $346.5 billion Source: (Spross, 2012) Some low income families and individuals.

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What is next for the health care reform for Medicaid? Democrats believe Cuts to the program $351billion over 10 yrs. Republicans believe There is a lot more to do Only time will tell Rowley & Przybyla, 2012

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Department of Medical Assistance Services. (2012). Medicaid and FAMIS Plus Handbook. Retrieved from http://dmasva.dmas.virginia.gov Goodnough, A. (2012). New York Times. 2 campaigns differ sharply on Medicaid, seeking Vast growth or vast cuts. Retrieved from http://www.nytimes.com/2012/09/01/us/politics/campaigns-have-sharply-different-visions-for- medicaid.html?_r=0 Kaiser Family Foundation. www.kff.org. (2009). Medicaid: A timeline of key developments. p. 1-6. Retrieved from http://www.kff.org/medicaid/timeline/pf_entire.html Rowley, J. Przybyla, H. (2012). Pressure for entitlement cuts is on Medicare, Medicaid. Bloomberg News BusinessWeek. Retrieved November 28, 2012. http://www.bloomberg.com/news/2012-11-28/pressure-for-entitlement-cuts-is- on-medicare-medicaid.html Spross, J. (2012). How Romneys Medicaid cuts would harm current seniors. Think Progress. Retrieved October 26, 2012. http://thinkprogress.org/health/2012/08/20/714591/how-romneys-medicaid-cuts-would-harm-current- seniors/?mobile=nc

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Kolicia LAST NAME

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1965: Medicare begins. Part B costing $3 a month 1972: add ESRD, and SSI 1982: Hospice are added temporary basis 1986: Hospice became permanent 1988: coverage for catastrophic illness and prescription drugs. 1997: Medicare+Choice is enacted under the Balanced Budget Act ("Kaiser family foundation," 2009)

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2000: Medicare Part B is 45.40 per month 2003: Medicare Modernization Act 2006: Part D outpatient prescription drug benefit becomes available to beneficiaries from private drug plans and Medicare Advantage Plans 2010: Affordable care act and Patient Protection ("Kaiser family foundation," 2009)

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DemocratsRepublicans Obamacare Democrats are claiming that Republicans are going to introduce the voucher system which is going to make it difficult for Medicare recipients because they are going to incur out of pocket expenses. Voucher Program Claim that Democrats are going to take 716 billion dollars out of Medicare. (Centers for medicare and medicaid services, 2012)

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65 years plus

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Centers for medicare and medicaid services. (2012). Centers for medicare and medicaid services. Retrieved from http://www.cms.gov/ Kaiser family foundation. (2009). Retrieved from http://www.kff.org/medicare/medicar etimeline.cfm http://www.kff.org/medicare/medicar

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Melody Pendleton

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Put into place to bring parity between insurance coverage for physical and mental health. Insurance coverage has to be equal between treatment at a general hospital visit and for mental health treatment. (Garcia, 2010; Barry, 2010; Huskcamp, 2010; & Goldman, 2010).

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1800s mentally ill housed in almshouses or taken care of at home In 1946 the National Mental Health Act. In 1959 National Mental Health Institute was established (Dolgoff & Feldstien, 2009). 1992 the first legislation of mental health parity was passed. Paul Wellstone and Pete Domenici In 1998 the act was put into effect (Herbert,2012).

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On October 3, 2008 the Mental Health Parity Addiction and Equity Act was signed. President Obama passed the Affordable Care Act in 2010. Amended the MHPAEA (Friedman, 2012)

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Democrats Agree with the idea of parity because Obama passed the Affordable Health Care Act in 2008. Believe in employers insurance. (Diffen, 2012) Republicans Believe in a greater state control. People shouldnt be forced to have insurance through employers. Should have own private family insurance. (Diffen, 2012)

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In 2008, 13.4 % of U.S. adults received treatment for a mental health problem (SAMHSA, 2010). Mental health spending is expected to increase in the year 2014 to 203.3 billion dollars.

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In 2005 mental health spending was much less than all other health related costs. SAMHSAs National Survey on Drug Use and Health found in 2008 58.7 % of adults in the U.S. with a serious mental illness received treatment for a mental health problem (NIMH,2012).

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People with mental illness. Insurance agencies. Hospitals and doctors offices. Community-based facilities like Piedmont in Rocky Mount, Virginia.

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Barack Obama vs Mitt Romney". Diffen contributors. Diffen LLC, 2012. Retrieved from, http://www.diffen.com/difference/Barack_Obama_vs_Mitt_Romney http://www.diffen.com/difference/Barack_Obama_vs_Mitt_Romney Buck, J., Levit, K. R., Kassed, C. A., Coffey, R. M., Mark, T. L., Stranges, E. M., & Vandivort-Warren, R. (2008). Future funding for mental health and substance abuse: Increasing burdens for the public sector. Health Affairs, 27(6), w513-w522. Dolgoff, R., Feldstein, D. (2003). Understanding social welfare. Allyn & Bacon, NY: Pearson. Friedman, R. (2012) Good news for mental illness in health law. New York Times, pp.1-3 Herbert, A. R.M, (2009) Mental Health Parity: Moving closer to an effective national policy, Journal of Financial Service Professionals; Vol. 63 Issue 2, p28- 31. http://ehis.ebscohost.com/eds/detail?vid=5&hid=2&sid=77f014d6- 0a51-43eb-b12f- ed594ea4132d%40sessionmgr111&bdata=JnNpdGU9ZWRzLWxpdmU%3d#db =bth&AN=36911454http://ehis.ebscohost.com/eds/detail?vid=5&hid=2&sid=77f014d6- National institute of mental health. (2012). Use of mental health services and treatments among adults, Retrieved from http://www.nimh.nih.gov/statistics/3USE_MT_ADULT.shtml http://www.nimh.nih.gov/statistics/3USE_MT_ADULT.shtml SAMHSA (2010). Mental Health, United States, 2010.

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Rachel Waddell

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Anit Drug Act of 1988 No toleration (Byrnes, 2009) Start prevention early (Byrnes, 2009) User accounatbility (Foley, 1988) National Drug Control Policy (Foley, 1988)

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Substance abuse covered by insurance +50 employees (Chapin, 2011) Fair Sentencing Act 2010 Reduced sentencing for possession (The White House, 2010). Crack Cocaine vs. Powder Cocaine (Durbin, 2009).

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Signed in by Obama in 2010 Treated as a disease Prevention, treatment, recovery Stop Crime Increase public health (The White House, 2012)

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8.7 % of population In 2010, 22.6 million Americans admitted using drugs 17.4% abuse Marijuana 2.0 million heavy drinkers (Rasner, 2011) 7% of population in Virginia Marijuana most common

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College students (Kerklikowske, 2010) 40% binge drink 34 % abuse prescription drugs Risks Dropping out Lower grades Graduate School

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Military (Witkeiwitz, 2011) 70% drink alcohol 70% reported binge drinking 11.5% misuse prescription drugs 11.9% use illicit drugs 60% of Veterans struggle

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Legalization of Marijuana Legalized in California for medical use. No medical use (Bergman, 2010)

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Is Substance abuse a disease or moral failure? Moral Failure (Slate, 2011). Choice Compulsive Sensation Disease is a misfortune Disease (National Institute on Drug, 2012 Biology Environment Development

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Bergman, G. (2012, September 04). The silent but deadly war on drugs. Huffington Post. Retrieved from http://www.huffingtonpost.com/gretchen-burns- bergman/the-silent-but-deadly-war-on-drugs_b_1852914.html Byrnes, F. (2009, January 16). Anti Drug Abuse Act of 1988. Article Doctor. Retrieved on October 18, 2012 from http://www.articledoctor.com/drug- abuse/anti-drug-abuse-act-of-1988-897 Chapin, R. (2011). Social policy for effective practice. (2nd Ediction ed.). New York: Routledge. Durbin, R. 111 the Congress, (2009). Fair sentencing act of 2010 (S 1789). Retrieved from The Library of Congress website: http://thomas.loc.gov/cgi- bin/bdquery/z?d111:SN01789:@@@D&summ2=m& Foley, T. (1988). Anti-drug abuse act of 1988 (H.R. 5210). Retrieved from 100th Congress website: http://thomas.loc.gov/cgi- bin/bdquery/z?d100:HR05210:@@@D&summ2=m&

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Kerlikowske, G. (2011). National Drug Control Strategy. Retrieved from Executive office of the president of the United St website: http://www.whitehouse.gov/sites/default/files/ondcp/ndcs2011.pdf National Institute on Drug Abuse. (2012, March). Drug Abuse Prevention. Science on Drug Abuse and Addiction. Retrieved from http://www.drugabuse.gov/publications/topics-in-brief/drug-abuse-prevention Rasner, M. (2011, May 27). Get help now. Retrieved from http://www.michaelshouse.com/drug-addiction/drug-addiction-statistics/ Slate, S. (2010, October 10). The clean slate. Retrieved from http://www.thecleanslate.org/myths/addiction-is-not-a-brain-disease-it-is-a- choice/ The White House. Office of National Drug Control Policy, (2012). National drug control strategy Obama Administration Witkiewitz, K., & Estrada, A. X. (2011). Substance Abuse and Mental Health Treatment in the Military: Lessons Learned and a Way Forward. Military Psychology, 23(1), 112-123. doi:10.1080/08995605.2011.548651

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Victoria Burton

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Older American Act Administration on Aging (AoA) Area Agencies on Aging (AAA) Senior Community Service Employment Program (SCSEP)

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Mitt Romney Barak Obama

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Ziliak, Gundersen, 2012

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Older Americans Trickle Down Effect My Granny

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Ziliak, P. J., Gundersen, C. (2012). Senior hunger in America 2010: An annual report. Meals on wheels research foundation. Retrieved from http://www.mowrf.org/The2010AnnualReport.pdf