The Issue

Even after full implementation of the ACA in 2019, millions of people will remain uninsured, and not everyone with insurance will have adequate substance use coverage. The ACA and the federal parity law will improve coverage of services aimed at helping people maintain their recovery, but critically important recovery support services analogous to management services covered for people with other chronic diseases may not be fully funded. The same is true for many critical substance use prevention services. It will remain essential to maintain safety net funding, including through the federal Substance Abuse Prevention and Treatment (SAPT) Block Grant.

Current Initiatives

  • Co-chairing and coordinating the Coalition for Whole Health to ensure the Affordable Care Act is well implemented for people with mental health and substance use disorder service needs.
New York City and State
  • Advocating to increase state funding for substance use prevention, treatment and recovery services.

Policy Recommendations

  • Strong safety-net funding: Ensure the safety net, including the Substance Abuse Prevention and Treatment Block Grant, remains strong for people and services that remain uncovered by the ACA.
  • Sustained prevention funding: Maintain the requirement that the SAPT Block Grant fund substance use prevention services to ensure that effective substance use prevention services and strategies are receive adequate funding.

Learn More

To learn more about this issue, visit our Substance Use Resources.

To learn more about LAC’s impact, see our Accomplishments.



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