Political Climate

With the health care debate now behind us, Capitol Hill and the Obama Administration have moved on to other things.  Issues of great significance include a pending Supreme Court nomination, fluctuating news on employment, and several Congressional primary races that will give shape to the November general election.  At this point in the year, many Members of Congress are focused on both a wide range of policy issues as well as their reelection prospects.

While Democrats are expected to suffer losses this year, experts widely disagree on the number (House seat estimates have ranged from 25 all the way to 60).  That said, it’s important to remember one thing about any election in which the minority party is trying to overwhelm the majority party: only in the summer and fall are the challengers truly tested, in both fundraising and campaigning.  Those Republican candidates trying to defeat entrenched Democrats will have to maintain a significant fundraising pace and avoid gaffes on the campaign trail.  Any error in either category could cost the GOP potential seats.

These remarks are not meant to be partisan in nature because the Democrats were in a similar position in 2006 as well as 2008.  In each of those years some Democratic challengers were unable to defeat Republican incumbents due to either lackluster fundraising, a disappointing campaign, or both.  At the same time, the Democrats won a significant number of seats in the House and the Senate, eventually taking over the majority.  The GOP is likely to repeat that pattern this year, enjoying a sizeable number of wins, but not necessarily as many as their most optimistic supporters would like.

Remembering Dr. Dorothy I. Height

NASW and the social work community were devastated by the loss of Dr. Dorothy I. Height on April 20, 2010. One of the world’s most important social workers, Dr. Height was a civil rights legend who spent a lifetime advocating for the rights of women and people of color. Dr. Height worked on five continents for four major national organizations during her lifetime. Dr. Height was the only female team member in the United Civil Rights Leadership which included Dr. Martin Luther King, Jr.,  Whitney Young, A. Philip Randolph, James Farmer, Roy Wilkins and John Lewis. She received the Presidential Medal of Freedom in 1997, the Congressional Gold Medal in 2004, and was inducted into the Democracy Hall of Fame International. NASW was honored to award Dr. Height with the 2009 Lifetime Achievement Award.

The most comprehensive piece of federal legislation ever introduced to address social work workforce challenges was named after Dr. Height and fellow social worker Whitney Young. NASW Executive Director Dr. Elizabeth Clark penned a tribute to Dr. Height and discussed her support of the legislation bearing her name. Honor the legacy of Dr. Height today by contacting your Representative and Senators in support of this critical legislation.

NASW Joins Young Invincibles In Support of Early Dependent Coverage

NASW joined 65 state and national groups on a letter asking insurance companies to start dependent coverage early.  The letter was generated by Young Invincibles, a national youth advocacy group focused on health reform.  (more…)

Take Action Today!

Action Requested

Contact your Representative today about signing on as a cosponsor to H.R. 5040, the “HIT Extension for Behavioral Health Services Act.”

Background

Rep. Patrick Kennedy (D-RI) has introduced bi-partisan legislation along with Rep. Tim Murphy (R-PA), a clinical psychologist, called the Health Information Technology Extension for Behavioral Health Services Act of 2010 (H.R. 5040). The bill, introduced on April 15, 2010, would extend the new Medicare and Medicaid “meaningful use” incentive payments established under the HITECH Act within the American Recovery and Reinvestment Act (ARRA) to clinical social workers and other mental health and substance abuse providers and facilities.

ARRA provides $20 billion in incentives and grants to health care providers and hospitals to establish interoperable electronic health record (EHR) systems throughout the nation. Medicare and Medicaid ARRA payment incentives are available to most physicians, chiropractors, dentists, optometrists, podiatrists and hospitals.  However, Congress excluded from eligibility behavioral health providers, as well as most non-physician practitioners, because of cost concerns when the law was enacted in 2009. Among those providers who would be eligible for the payments under Rep. Kennedy’s H.R. 5040 are clinical social workers, clinical psychologists, psychiatric hospitals, substance use treatment facilities and mental health treatment facilities.

As enacted, ARRA establishes a vast national EHR system that excludes the electronic patient records of clinical social workers’ and other behavioral health providers. If the current law’s deficiency is not corrected, the behavioral health records of many consumers will likely remain in paper form and therefore less accessible to other health care providers. Nevertheless, there is a high risk that excluded providers would be compelled to use electronic health records systems to participate within commercial provider networks and to obtain EHR information from covered physicians and facilities. NASW is a supporter of strong patient privacy protections established within ARRA, and also believes that quality of care will likely be seriously compromised if the records of clinical social workers and other behavioral health providers remain excluded from developing EHR systems.

Details on H.R. 5040

NASW believes it is essential to integrate care delivered by clinical social workers with other behavioral health and medical providers, and this legislation will be an important priority for enactment. The Health Information Technology Extension for Behavioral Health Services Act would:

• Clarify the definition “health care provider” throughout the HITECH/ARRA Act to include clinical social workers and psychologists, substance abuse professionals, psychiatric hospital, behavioral and mental health clinics, and substance use treatment facilities.
• Establish grants for those mental health treatment facilities not eligible for meaningful use incentives through the HITECH/ARRA Act. The grants allow for purchasing certified EHRs, training medical staff in the use of EHRs, and improving the exchange of health information between mental health providers and other health care providers.

Extend Medicare and Medicaid payment incentives for meaningful use of EHRs to clinical social workers and psychologists, psychiatric hospitals, mental health treatment facilities, and substance abuse treatment facilities.

The Department of Health and Human Services (HHS)  is hosting another program in their webchat series on health insurance reform. Nancy-Ann DeParle, Director of the White House Office of Health Reform will join Secretary Kathleen Sebelius for a discussion on how the new Affordable Care Act will impact you.  Questions addressed will include information about Medicare Part D and the doughnut hole; obtaining affordable health care coverage for young adults and children under age 26; and affordable health care options for people with pre-existing conditions.

Join the conversation at 4 p.m. EDT on Thursday, April 15^th at http://www.hhs.gov/live.

Send your questions today to Healthreform@hhs.gov. HHS will also take questions live via Twitter during the webchat.  You can find them on Twitter at @HHSGov.

HHS will answer as many questions as they can during the webchat and will answer more on the “Your Questions Answered” section of our website, Healthreform.gov.

March proved yet another tumultuous month for congressional consideration of legislation establishing Medicare payment rates. Physicians, clinical social workers and other health professionals that bill Medicare Part B independently face a scheduled rate cut of 21 percent on April 1. Fortunately, this week the Centers for Medicare and Medicaid Services (CMS) delayed the scheduled formula payment cuts until after Congress reconvenes on April 12. CMS is working with Congress, health care practitioners, and the beneficiary community to avoid disruption in the payment of claims submitted under the Medicare Physician Fee Schedule (MPFS), which is based on a flawed formula known as the Sustainable Growth Rate (SGR).  For a recent history on the SGR formula problems for clinical social workers, see NASW’s website here.

A temporary extension of current practitioner payment levels was enacted on March 2, 2010. This short term remedy held payments at 2009 levels until March 31, 2010, but Congress recessed for two weeks without extending the provision past the March deadline.  CMS announced this week that Congress is working to avoid the payment cuts that will take effect April 1, 2010 and instructed its contractors to hold claims for services paid under the MPFS for the first 10 business days of April. Holding the MPFS claims will only affect those with dates of service April 1, 2010 and later.

CMS expects the hold on claims will have a minimum impact on practitioners’ cash flow bmedicare, physician fee, payments,ecause clean electronic claims are paid no sooner than 14 calendar days (29 for paper claims) after the date of receipt. The Senate has scheduled a vote on the extension legislation for April 12 when they are scheduled to return from recess. Congress has resisted a permanent correction of the SGR formula because any remedy will create budgetary problems. Congress is particularly reluctant to address the formula this year because the economic downturn has depressed Medicare revenues below actuaries’ projections. NASW has joined with physicians and other practitioners in calling for a permanent correction in the SGR payment formula. (more…)

Last week Congress halted the so-called Medicare “physician fee cut” that set Part B payment rates for clinical social workers and all independent Medicare outpatient providers with passage of an extension of Medicare physician payments at last year’s level through March 31.  On Wednesday, March 10, the Senate passed a critical extension of these  provisions (H.R. 4213).  Eight Republicans voted with Democrats to defeat a GOP filibuster of this measure. Similar legislation passed the House in December and a conference to reconcile their differences  is now required to enact this legislation.

H.R. 4213 extends the SGR component of the physician fee only through September 30. More importantly for CSWs, the bill retroactively restores a separate five-percent cut that hit Medicare psychotherapy rates on the first of this year. The proposed restoration of Medicare psychotherapy rates would apply to services delivered from January 1, through December 31. Since many private insurance plans pay social workers based on Medicare psychotherapy rates, this will benefit many clinical social workers in private practice.

The new Senate bill also includes a host of provisions unrelated to Medicare, including tax cut extenders and unemployment measures. Federal fiscal relief to help states with their escalating Medicaid expenditures is also included. This provision, called Medicaid FMAP extension, provides $25 billion in emergency Medicaid funds sought by President Obama and supported by NASW.

NASW expects to begin work on new legislation making a long-term correction of Medicare psychotherapy rates as soon as H.R. 4213 is signed into law.

For background on the complex issues involving clinical social fees, see NASW’s advocacy blog posts here.

2009 Rates extended until March 31

Within four weeks of taking office, Congress presented a “stimulus package” to President Obama, who signed it.  The American Recovery and Reinvestment Act (ARRA) is now one year old.  About half of the money has been distributed, mostly to states, as well as to extend unemployment benefits, expand eligibility for Food Stamps, support Medicaid for states.  Independent economic analyses of ARRA show where it has been effective.  It’s hard to make the argument that things would have been worse for people without the package, because for many people, their economic situation is difficult and challenging.  However, reading accounts of the mass suffering during the depression makes us glad that we did not have to witness similar challenges.  It was the work of social workers led by Frances Perkins and Harry Hopkins that supported people and institutionalized programs like unemployment insurance and social security to ensure people could be cared for throughout the ups and downs of economic cycles.

NASW, partnering with you, our members, continues this legacy of providing direct aid and advocating for structural economic changes.  (See our advocacy alerts on extending benefits to people who have lost their jobs and supporting Medicaid relief to states.) We look forward to continuing these efforts.

You may find these recent articles of interest regarding the ARRA:   http://www.nytimes.com/2010/02/17/business/economy/17leonhardt.html?src=twt&twt=nytimes and  http://online.wsj.com/article/SB10001424052748704804204575069772167897834.html?mod=WSJ_hpp_MIDDLTopStories

A new report by federal actuaries shows government programs will pay for more than half of all U.S. health care spending by 2012. The health care spending projection data can be found on the CMS web site at http://www.cms.hhs.gov/NationalHealthExpendData/03_NationalHealthAccountsProjected.asp

Employment Non-Discrimination Act

NASW continues to work diligently on the Employment Non-Discrimination Act (H.R.3017/S.1584).  With 194 sponsors in the House of Representatives and 44 in the Senate, E.N.D.A. has begun to attract enormous attention.  The Employment Non-Discrimination Act is dedicated to the principle that every worker should be judged solely on his or her merits.  Further, hardworking Americans should not be kept from supporting their families and making a positive contribution to the economic life of our nation due characteristics that have no bearing whatsoever on their acumen to do a job.  The Association remains allied with traditional civil rights groups who affirm that inequality and discrimination subvert the principles of Democracy.

Political Climate
Despite the many twists and turns health care reform has taken in the past several months, we are not necessarily closer to a solution in mid-December than we were in mid-September.  The Senate still has not completed its own bill, and is trying to write legislation that can earn 60 votes.  Once they do so, a conference between House and Senate negotiators will have to occur in order to send a single bill to President Obama.  At this point, no one can guarantee when such a conference will take place.  The cause of this delay is simple: for all the attention rightfully placed on abortion-related aspects of the discussion, there is still no agreement on the fundamental way in which more Americans would receive health care coverage.  Many reasonable approaches have been mentioned in the Senate, including expansion of Medicare and a public option.  But one week before Christmas Day, there is still no single plan that has garnered the support of 60 Senators.  Until that happens, there can be no conference with the House and thus no bill for President Obama to sign into law.NASW has called on its members to contact their Senators to support the bill (H.R. 3590), and a link to our most recent action alert is here. NASW has written to Majority Leader Reid supporting the Senate reform bill, and a copy may be viewed on the NASW Web site.

Reinvestment for Educators
NASW President Jim Kelly, Baccalaureate Social Work Program Directors President Freddie Avant, and Action Network for Social Work Education and Research Chair Jeane Anastas, recently filmed a video regarding “Reinvestment for Educators” to discuss why the Social Work Reinvestment Initiative is important for social work educators. The bill will support recruitment of new social work students, retain experienced social workers, and fund social work education and research. To view the full legislation, please click here. After viewing the video, please send a letter of support to your Representative and Senators.

Social Work Medicare Equity Act in Health Care Reform
Section 1307 of the House health care reform bill (H.R. 3200) authorizes clinical social workers eligible to participate under Medicare Part B to bill independently for services to Medicare Part A covered residents of Skilled Nursing Facilities (SNFs). The provision removes Part B-eligible clinical social work services from the Medicare SNF per diem rate and alternatively authorizes them to bill for them separately. This is a long-sought change by NASW that will expand the availability of clinical social work services to SNF residents covered by Medicare Part A and provide parity recognition for the profession in a SNF setting. The Senate version of health care reform legislation (H.R. 3590) does not contain a similar provision, and this difference must be ironed out in conference committee on the legislation. NASW is working with House and Senate offices to support the provision when conference committee consideration begins.

SWRA Provisions Advance on Health Care Reform
There are several provisions within Health care reform legislation, H.R. 3590, which advance the Social Work Reinvestment Act (SWRA).  Related provisions are contained in the House-passed measure, H.R. 3200. The Senate bill includes the following key provisions addressing social work professional education and training needs:

• Sec. 3508 - Establishes a demonstration program to integrate quality improvement and patient safety training into clinical education of health professionals. Schools of social work are among the eligible grantees.

• Sec. 5101 - Creates a National health care workforce commission tasked with reviewing health care workforce and projected workforce needs. The needs of the social work profession are among those that would be considered by the Commission and schools of social work also have representation.

• Sec. 5102 - Creates state health care workforce development competitive grants to s. enabling State partnerships to complete comprehensive planning and to carry out activities leading to coherent and comprehensive health care workforce development strategies at the State and local levels. All health professions are eligible for state planning attention, including social work.

• Sec. 5203 - Establishes health and behavioral health workforce loan repayment programs for pediatric subspecialists and providers of mental and behavioral health services to children and adolescents who are or will be working in a Health Professional Shortage Area, Medically Underserved Area, or with a medically underserved population.

• Sec. 5305 - Authorizes funding for geriatric education and training; career awards; comprehensive geriatric education to advanced practice nurses, clinical social workers, pharmacists, and psychologists.

• Sec. 5306 - Awards to mental and behavioral health education and training grants to schools for the development, expansion, or enhancement of training programs in social work, graduate psychology, professional training in child and adolescent mental health, and pre-service or in-service training to paraprofessionals in child and adolescent mental health.

• Section 756 of the Public Health Services Act is amended to include language regarding the qualifications of institutions eligible for these training grants and that at least four will go to Historically Black Colleges and Universities (HBCU) or Minority Serving Institutions (MSI).  Authorization for up to $8 million in funds is provided for social work.

Medicare MD & MSW Fee Schedule Update
Clinical social workers that participate in Medicare Part B will have their payment rates temporarily protected against large cuts scheduled for 2010 because Congress acted on a short-term bill to delay the cut required by the flawed sustainable growth rate (SGR) formula, which determines outpatient payment rates in Medicare and TRICARE. The SGR formula is frequently inappropriately described as the Medicare “physician fee” formula, but it actually sets the rate of increase or decrease for all Medicare Part B independent practitioners, including clinical social workers. NASW supports legislation that would halt scheduled cuts in Medicare payments to clinical social workers and other health professionals and has urged Congress to adopt legislation to recalibrate how these payments are set each year. See NASW’s letter to Congress here.

Correcting the problem before the rate cuts go into effect on Jan. 1, each year is politically difficult due to the multi-billion dollar costs of correcting the formula. Current law requires large annual reductions in Medicare SGR determined fees, which include rates paid to clinical social workers. Congress rejected several earlier SGR bills this fall, but then passed an eight week extension into February, enabling it to address the payment problem once it finishes work on health care reform. NASW is continuing to work with coalition partners in support of an SGR remedy.

Appropriations Bill Funds Study on Mental Workforce Issues
During the week of December 9, Congress finished the annual appropriations bill for the federal FY 2010, Labor-HHS-Education spending bill, which is available on the House Appropriations website. One item of special interest to the social work profession is the inclusion of $900,000 for the Institute of Medicine (IOM) to study mental health workforce needs focused on (1) a systematic analysis of the current and projected mental and behavioral healthcare needs of the American people, particularly for aging and growing ethnic populations; and (2) developing policy recommendations for achieving a competent and well-trained mental health workforce to address those needs.  Congressional authors justified the study as necessary in light of the projected doubling of the aged population by 2030, new evidence of the importance of addressing mental health needs as part of effective chronic disease management, increased numbers of veterans with post traumatic stress disorder, improved diagnostic techniques, and implementation of the new federal mental health parity law. The study expands on IOM’s 2008 broader study on the geriatric workforce, which did not explore mental health workforce needs in depth. NASW worked with other mental health professional groups to support this funding in the new law, and will advocate vigorously for the representation of the social work profession in the work of the IOM.

Health Legislation Prospects for 2010
At the start of the new year, Congress is not expected to consider major new health legislation, but congressional committees will consider routine health legislation, particularly those bills that were set aside last year to make time for health reform legislation. These include the 21st Century Cancer ALERT Act, reauthorization of HHS/Public Health Service programs under the jurisdiction of the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Health Resources and Services Administration (HRSA). Furthermore, congressional oversight of new federal programs to promote the use of health information technology (HIT) and to protect confidential patient information is expected to be a priority. NASW will represent clinical social worker interests to ensure the profession is included for all Medicare HIT incentive payments and that psychotherapy notes are protected in federal privacy regulations.
Congress also faces a variety of funding challenges to implement health care reform, particularly programs that support the education and training of the health professions. NASW will aggressively pursue expanded federal support for the social work profession in these federal initiatives. As in past years, Congress has not settled on a long-term solution to the Medicare physician payment formula, which also determines the payment rate for clinical social workers and all the health professions that directly bill Medicare Part B.  NASW will continue to advocate for adequate payment rates for the profession during this protracted debate. NASW members who wish to stay informed about health and behavioral health developments in the new Congress should follow NASW’s webpage.

NIH Approves New Stem Cell Lines
On December 2, the National Institutes of Health (NIH) approved 13 new human embryonic stem cell lines for use by NIH funded researchers. Another 96 embryonic stem cell lines are undergoing NIH review. In March, President Obama expanded the number of such cell lines beyond those available under a policy set by President George W. Bush, which permitted research to begin only with lines already available on Aug. 9, 2001. To read more, go to the NIH press release.

Needle and Syringe Exchanges Ban Lifted
On December 13, the Senate passed the Consolidated Appropriations Act of FY2010 by a vote of 57 - 35.  The President is expected to sign the bill before the continuing resolution expires.  Among many other important provisions, the bill removes the federal funding ban on syringe exchange. The provision allows the distribution of syringes through syringe exchange as long as local public health or local law enforcement authorities do not object to a specific location as being inappropriate for distribution.

NASW Supports Child Welfare Workforce Improvement Act
On November 30, NASW sent a letter to Senator Blanche Lincoln (AR) thanking her for introducing S. 2837 the Child Welfare Workforce Improvement Act. The bill will help ensure a workforce that can accurately assess the strengths and needs of children and families, connect children and their families to services, monitor their progress, and improve outcomes for children. NASW sent an alert to the Advocacy Listserv looking for cosponsors.

Immigration Bill Introduced in House
Representative Luis Gutierrez (IL-4) introduced immigration legislation, Comprehensive Immigration Reform for America’s Security and Prosperity (H.R. 4321), in the House on December 15. Congress is beginning to shape the immigration debate with the introduction of this bill and NASW is developing our strategy. You can view the bill here. Immigration will be an important issue tackled in 2010.

Veteran’s Affairs
Recently, we heard from a member of NASW who is an MSW student and a veteran who recently returned from Afghanistan.  He hoped to find a mental health counselor who was both a veteran and a social worker.  While he strongly supports the work of all social workers, he wanted to find one who could directly relate to his experience in war.  The Veterans Administration in his area was unable to locate such a person for him, and other non-VA efforts came up empty as well.

This is a clear connection between member needs and NASW advocacy.  Veterans represent a constituency who may choose to enter social work to benefit both their peers and other members of society, but only if there is a distinct path for them to do so.  Thus, NASW has intensified its focus on veteran’s issues.  This improvement is meant to benefit not just veterans, but the field of social work as well.

Senate Continues Consideration of Health Care Reform

The Senate is currently debating health care reform legislation. Numerous amendments are pending and each will require 60 votes for passage, a high threshold for inclusion. NASW has mobilized its members on reproductive rights, coverage for routine patient care costs associated with clinical trials participation, and we anticipate further mobilization on other issues in the debate. Final passage may occur late this week, and reconciliation of differences with the House versions could extend into early 2010.

NASW has recently called on all of its members to contact their Senators to support the bill (H.R. 3590), and a link to our most recent action alert is here. NASW has written to Majority Leader Reid supporting the Senate reform bill, and a copy may be viewed on the NASW Web site.

NASW Supports Clinical Trials Amendment

On December 7, NASW sent a letter to Senators Sherrod Brown (D-OH) and Kay Bailey Hutchison (R-TX) in support of their amendment to H.R. 3590, the Patient Protection and Affordable Care Act. The amendment would require that all third-party payers cover routine patient care costs incurred by patients enrolled in clinical trials. The amendment will apply to all phases of clinical trials for cancer and other life-threatening illnesses.

To view the entire letter, please go here.

Social Work Medicare Equity Act in HCR

Section 1307 of the House health care reform bill (H.R. 3200) authorizes clinical social workers eligible to participate under Medicare Part B to bill independently for services to Medicare Part A covered residents of Skilled Nursing Facilities (SNFs). The provision removes Part B-eligible clinical social work services from the Medicare SNF per diem rate and alternatively authorizes them to bill for them separately. This is a long-sought change by NASW that will provide parity recognition for the profession in a SNF setting and expand the availability of clinical social work services to SNF residents covered by Medicare Part A. The Senate version of health care reform legislation (H.R. 3590) does not contain a similar provision, meaning the difference between the two bills must be ironed out in conference committee on the health reform legislation. NASW will work with House and Senate offices to support the provision when conference committee consideration begins.

Medicare MD & MSW Fee Schedule Update

Clinical social workers that participate in Medicare Part B will have their payment rates protected against large cuts scheduled for 2010 if Congress acts quickly on legislation to repeal the flawed sustainable growth rate (SGR) formula, which determines outpatient payment rates in Medicare and TRICARE. The SGR formula is frequently inappropriately described as the Medicare “physician fee” formula, but it actually sets the rate of increase or decrease for all Medicare Part B independent practitioners, including clinical social workers. NASW supports legislation that would halt scheduled cuts in Medicare payments to clinical social workers and other health professionals and has urged Congress to adopt legislation to recalibrate how these payments are set each year. See NASW’s letter to Congress here.

Correcting the problem before the rate cuts go into effect on Jan. 1, is politically difficult due to the multi-billion dollar costs of correcting the formula. Current law requires large annual reductions in Medicare SGR determined fees, which include rates paid to clinical social workers. Congress has rejected several SGR bills this fall, but is expected to address the payment problem once it finishes work on health care reform. There is a real possibility that corrective legislation may not pass until sometime after the cuts go into effect on Jan. 1. In the past Congress has occasionally failed to enact the SGR payment legislation by the end of the year, but has later passed retroactive legislation that restores provider payment rates. Without congressional action, payment rates for Medicare physician and clinical social worker services will drop by 21 percent on January 1, 2010. NASW is continuing to work with coalition partners in support of an SGR remedy.

Appropriations Bill Funds Study on Mental Workforce Issues

This past weekend, Congress finished the annual appropriations bill for the federal FY 2010, Labor-HHS-Education spending bill, which is available here on the House Appropriations website. One item of special interest to the social work profession is the inclusion of $900,000 for the Institute of Medicine (IOM) to study mental health workforce needs focused on (1) a systematic analysis of the current and projected mental and behavioral healthcare needs of the American people, particularly for aging and growing ethnic populations; and (2) developing policy recommendations for achieving a competent and well-trained mental health workforce to address those needs. Congressional authors justified the study as necessary in light of the projected doubling of the aged population by 2030, new evidence of the importance of addressing mental health needs as part of effective chronic disease management, increased numbers of veterans with post traumatic stress disorder, improved diagnostic techniques, and implementation of the new federal mental health parity law. The study expands on IOM’s 2008 broader study on the geriatric workforce, which did not explore mental health workforce needs in depth. NASW worked with other mental health professional groups to support this funding in the new law, and plans to advocate vigorously for the representation of the social work profession in the work of the IOM.

Items of Interest from the White House

New Video by Vice President Biden on Seniors and Health Reform

http://www.whitehouse.gov/photos-and-video/video/vice-president-biden-dispells-myths-around-medicare-and-health-reform

Reality Check: CMS Report Confirms Reform Will Benefit Seniors, Slow Cost Growth

http://www.whitehouse.gov/blog/2009/12/11/reality-check-cms-report-confirms-reform-will-benefit-seniors-slow-cost-growth