title: The Affordable Care Act: overview and implications for county and city behavioral health and intellectual/developmental disability programs.
abstract: The author begins by reviewing the 5 key intended actions of the Affordable Care Act (ACA)-insurance reform, coverage reform, quality reform, performance reform, and information technology reform. This framework provides a basis for examining how populations served and service programs will change at the county and city levels as a result of the ACA, and how provider staff also will change over time as a result of these developments. The author concludes by outlining immediate next steps for county and city programs.
authors.affiliation: a National Association of County Behavioral Health and Developmental Disability Directors , Washington , District of Columbia , USA.
authors.forename: Ron
authors.initials: R
authors.lastname: Manderscheid
mesh_terms: D003156:Community Mental Health Services / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D002658:Developmental Disabilities / Q000534:rehabilitation*; D054624:Health Status Disparities; D006280:Health Workforce / Q000458:organization & administration; D006801:Humans; D019458:Insurance Coverage / Q000331:legislation & jurisprudence; D007348:Insurance, Health / Q000331:legislation & jurisprudence; D008484:Medicaid / Q000331:legislation & jurisprudence; D058991:Patient Protection and Affordable Care Act / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D012959:Socioeconomic Factors; D014481:United States
keywords: Medicaid; access; community mental health; community mental health practice; health care; law; nationalized medicine; social justice