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USPSTF: Screening Children and Adolescents for Anxiety, Depression, and Suicide Risk
On October 11, the U.S. Preventive Services Task Force (USPSTF) finalized recommendations for certain mental health screening for children and adolescents. They found that while evidence indicates that screening can help identify some conditions for some ages, more research is needed to assess the balance of benefits and harms of screening for anxiety and depression in younger children and for suicide risk screening for all ages up to 18.
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Work on Stopgap Funding Measure Continues
On Thursday, the Senate voted 72-25 to approve an almost-clean continuing resolution. The bill continues current appropriations levels through December 16 with a handful of exceptions (“anomalies”) for specific programs that need higher funding, such as disaster relief, caring for unaccompanied migrant children at the border, and assistance to Ukraine. The House has same-day authority to take up the measure as soon as it reaches that chamber, where it is expected to pass and be sent on to the President without delay. |
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Key Committees Advance Legislation as Larger Mental Health Picture Gets Fuzzy
Earlier in the year, Congress appeared to be on track to pass an ambitious mental health package, a combination of reauthorizing more than 30 expiring mental health and substance use programs, expanding some programs, and filling in some gaps in the system. Multiple committees on both sides of the Hill have dealt with discrete pieces, to varying degrees, but no clear strategy has emerged to get them all across the finish line. Competing legislative priorities, the mid-term elections, and a diminishing calendar are all factors.
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HHS Issues First-Ever National Strategy to Support Family Caregivers
On September 21, the Administration for Community Living (ACL), part of HHS, released the 2022 National Strategy to Support Family Caregivers. It highlights nearly 350 actions the federal government will take in the coming year to support family caregivers, and more than 150 actions that can be adopted at other levels of government and across the private sector to build a system to support family caregivers. Family caregivers, who provide the overwhelming majority of long-term care in the United States, often lack resources to maintain their health, wellbeing, and financial security while providing crucial support for others. The strategy represents the first time a broad cross-section of the federal government has collaborated with the private sector on a response to the longstanding national need for a comprehensive system of family caregiver support.
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HHS OIG Recommends Improvements to Medicaid Managed Care Spending Oversight
The HHS Office of the Inspector General issued two recent reports with recommendations for improved accountability of Medicaid managed care expenditures.
Nearly All States Made Capitation Payments for Beneficiaries Who Were Concurrently Enrolled in a Medicaid Managed Care Program in Two States: The purpose of this audit was to determine whether states made capitation payments on behalf of Medicaid beneficiaries who were concurrently enrolled in a Medicaid managed care program in two states. The data review included 45 states, the District of Columbia, and Puerto Rico, and identified all capitation payments that were made by two of these 47 entities for the same beneficiary in August 2019 and in August 2020.
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