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Health Care Reform

Behavioral Health in the Medicaid Program

The Medicaid expansion under the Affordable Care Act (ACA) improved access to mental health and substance use disorder services in Maryland. Under the Medicaid expansion 248,200 Maryland residents gained coverage. Medicaid is the largest source of funding for Maryland’s public behavioral health system. Baltimore City represents almost 35 percent of the public behavioral health system in Maryland, serving over 65,000 people with mental illness and substance use disorders annually. Proposed cuts to Medicaid would have a devastating effect on the public behavioral health sector in Maryland.

Republicans are trying to repeal the ACA and replace it with the American Healthcare Act (ACHA). The ACHA passed the House of Representatives by a small margin on May 4, 2017. Under the ACHA, the Congressional Budget Office estimates 23 million Americans would lose healthcare coverage. The ACHA and proposed cuts to Medicaid would be devastating to the health and well-being of individuals in Maryland and across America. According to an analysis by the Center for American Progress, more than 265,000 Marylanders would lose coverage.

Resources on Medicaid:

Take Action

  • Contact Governor Larry Hogan and urge him to stand up for Marylanders and oppose the ACHA.
  • Calling his office at 410-974-3901 or 1-800-811-8336. Ask Governor Hogan to work with fellow Governors to preserve Medicaid expansion and the Medicaid program.  You can also send a letter to 100 State Circle, Annapolis, Maryland 21401-1925.
  • Read BHSB’s Letter urging Governor Hogan to protect the medicaid expansion.