February 2021 Indiana Mental Health News & Updates
2.26.2021 | February 2021 Issue
What is Happening at the Indiana Statehouse:
The following bills were prioritized during the first half of the Indiana Legislative Session:
Mental Health Diagnoses (SB 82):
SB 82 would maximize the important work of mental health and addiction service providers who are trained and qualified to both treat and diagnose behavioral health disorders. As we have a workforce shortage that makes this most difficult, the shortage is acerbated in Indiana, as the diagnosis of mental health disorders is currently limited to Physicians and Psychologists.

SB 82 would allow the 5427 LCSWs, 2606 LMHCs, 1328 LCACs, and 1000 LMFTs to diagnose mental health conditions. With 74 of the 92 counties considered mental health professional shortage areas and 70% of counties in Indiana currently having insufficient or no access to
psychiatrists, this would increase the number of clinicians who could diagnose and provide treatment in a timely way. This bill is an immense step forward in addressing the mental health crisis in Indiana. See SB 82 HERE.


Telehealth (SB 3/ HB 1286):
The COVID-19 pandemic has emphasized the enormous need for virtual behavioral health services throughout the state of Indiana and the nation. Tele-therapy services have seen a record uptake in individuals served since March of 2020, and we expect to see those numbers grow in the future, especially in rural parts of Indiana where the workforce shortage in the behavioral health field is most severe. As a result of the pandemic, the state and federal government have approved reimbursement for an expansion of Telehealth services that will otherwise terminate upon the end of the COVID-19 public health emergency. SB 3 and HB 1286 would make many of these provisions permanent. Mental Health America of Indiana strongly supports Senate Bill 3 and House Bill 1286 and the permanent expansion of tele-health services for the behavioral health field. Learn more about the bills and their provisions here: SB 3, HB1286.


Medicaid in Schools (SB 51):
Medically Necessary services would be reimbursable for school-based Medicaid covered services under state or federal mandates. As we know, school based services are currently inadequate due to lack of available resources, and this legislation would go a long way in providing the needed funding. See HERE.


Health Improvement Plans (HB 1007):
Indiana lags behind most of the country in its response to health needs and the wellness of its citizens. HB 1007 would require a State Health study and plan to be conducted by the Department of Health in conjunction with FSSA and would make available grants to prevent and address health issues in our state. The Budget bill currently appropriates $50M for this effort. This is a positive response to Hoosier health needs and one that MHAI supports. See HERE.


Recovery Works (HB 1127):
As was said above, the Budget bill reduces the appropriation for Recovery Works, although HB 1127 does permit Recovery Works funding to be used for Recovery Residences, Recovery Community Organizations and Competency Restoration. Competency Restoration has been a difficult issue for years as many have inappropriately waited in an incarcerated setting for competency restoration services. MHAI supports HB 1127, but would again emphasize that this effort cannot be successful without adequate funding. See HERE.


Community Mental Health Centers (HB 1467):
The Indiana Council of Community Mental Health Centers brings forth legislation to seek Medicaid waivers to assure reimbursement for critical CMHC services, while allowing for administrative changes to promote efficiency. This bill would also update addiction counselor licensure requirements. In addition, it would add a representative of the Council and MHAI on the Indiana Justice Reinvestment Council to ensure mental health expertise is included in criminal justice policy decision-making. See HERE.

Budget (HB 1001):
As we reported in MHAI’s previous INSession, HB 1001, the State Budget Bill, comes now from the House of Representatives to the Senate Appropriations Committee with over $26M in cuts to the mental health and addiction budget for the biennium. This includes $10M in cuts to the Recovery Works program (to provide treatment in lieu of incarceration, when appropriate), $8M in addiction cuts, and other mental health cuts as well. At a time when behavioral health resources are needed now more than ever due to the COVID-19 pandemic, this makes absolutely no sense! According to Mental Health America of Indiana, depression, anxiety, alcoholism, drug overdose and suicide are all on the rise due to COVID-19. This reduction will undoubtedly lead to greater financial and human costs--due to an expected increase in hospitalizations, incarcerations and recidivism rates. The Administration is on record in support of full restoration of the cuts to the Division of Mental Health and Addiction to their Fiscal Year 2021 levels, assuming that the revenue forecast does in fact grow as we now expect.

Mental Health America of Indiana strongly supports the Administration’s position to restore the Division of Mental Health and Addiction (DMHA) appropriations to previous budget levels.

Please go HERE to ask your Senator to FULLY RESTORE the $26M funding cuts for mental health and addiction services, including Recovery Works, in HB 1001, the Budget Bill.


988 Crisis Response (HB 1468):
Indiana does not have a system designed to specifically meet the needs of behavioral health crisis other than Emergency Departments, first responders, and law enforcement agencies, most of which typically begin with a call to a 911. Unfortunately, all of these entities currently have an overtaxed bandwidth. In addition, Indiana has an insufficient number of psychiatric beds, which over the past year, on multiple occasions, has been exacerbated by the COVID-19 pandemic.
House Bill 1468 would create a structure for a behavioral health crisis response, using a community-based partnership between law enforcement, first responders, hospitals, mental health and substance use professionals, and other community-based entities. The point of entry involves the utilization of call centers, mobile crisis outreach services, sub-acute stabilization centers, peers, and treatment providers. This would reduce the need for acute care and hospital Emergency Department visits, substantially decreasing the burden of traditional responders and significantly cutting the costs of care that is not even appropriate for this service need. See HB 1468 HERE.


Opioid Treatment Programs (HB 1225):
MHAI supports evidence-based treatment with access to all the tools in the toolbox for the treatment of opioid use disorder, including counseling, all FDA approved medications [Medication Assisted Treatment], peer specialists, support groups, etc., in a broad array of venues or settings, including Opioid Treatment Programs. Currently, an Opioid Treatment Program must receive prior authorization from the Division of Mental Health and Addiction for any patient receiving more than seven days of methadone, an FDA approved opioid treatment medication. HB 1225 changes the seven-day requirement to fourteen days, if clinically required and appropriate. Not only does this decrease the administrative burden on our state mental health division, but it also puts the medical expertise back into the hands of the treatment provider. To learn more about House Bill 1225, please click HERE.

To view more key behavioral health bills Mental Health America of Indiana is tracking, please click HERE!
What is Happening at Mental Health America of Indiana:
The Indianapolis Colts Kicking the Stigma Initiative
Mental Health America of Indiana is excited to announce the new Kicking the Stigma Initiative! Indianapolis Colts owner Jim Irsay shares the organization's support of "Kicking The Stigma," to bring attention to mental health and linebacker Darius Leonard shares how mental illness has affected his life. To learn more about the initiative and how to donate, click HERE!
Regional Recovery Hubs
Mental Health America of Indiana has created Regional Recovery Hubs distributed geographically around the state. These Hubs will expand our ability to connect Hoosiers with mental health and substance use disorders to treatment and recovery supports through Certified Peer Recovery Coaches, Community Health Workers, and Certified Recovery Specialists. These Regional Recovery Hubs will be able to assist individuals with substance use disorder, regardless of where someone is in their recovery journey. We are adding a few new Recovery Hubs, so be on the lookout on new Hubs in your area!
What is Happening Around the State:
The Behavioral Health Commission:
As the governor has appointed our CEO, Steve McCaffrey, as one of the new members of the Indiana Behavioral Health Commission, we hope that you follow along with us! To view the recap of the most recent meeting click the button below!
What is Happening on Capitol Hill:
The Energy and Commerce Committee and other House Committees marked up a budget reconciliation bill with several provisions relevant to public health, including mental health and substance use. The bill also included substantial relief to state and local governments.

  • $1.75B for the Community Mental Health Block grant and $1.75B for the Prevention and Treatment of Substance Use with a September 30, 2025 end date on the availability of money.
  • $80M for mental and behavioral health training for health care professionals, paraprofessionals, and public safety officers with grants to “plan, develop, operate, or participate” in evidence-informed strategies for reducing and addressing mental health and substance use issues.
  • $20M for an education and awareness campaign for healthcare professionals and first responders.
  • $40M to award grants to health care providers to “establish, enhance, or expand evidence-informed programs or protocols to promote mental & behavioral health among providers.”
  • $30M to award grants to states/local governments, nonprofits and others “to support community-based overdose prevention programs, syringe services programs, and other harm reduction services, to reduce harms of drug misuse exacerbated by COVID-19.” Allowable use of grant funds are “preventing and controlling the spread of infectious disease,” distributing opioid overdose reversal meds, connecting at-risk individuals with counseling/education.
  • $50M for community-based funding for local behavioral health needs. Grants to state and local government and nonprofits to address behavioral health needs worsened by COVID. Use of grant funds include promoting care coordination, training, expanding integrated models of care, addressing surge capacity, providing mental & behavioral health services through telehealth, and supporting/enhancing crisis intervention services.
  • $10M for National Child Traumatic Stress Network for “carrying out” PHS Act section w/r/t high-risk or medically underserved persons who experience violence-related stress.
  • $30M for Project Aware activities in schools.
  • $20M for youth suicide prevention activities.
  • $100M for the HRSA Behavioral Health Workforce Education and Training program, which includes training for professionals and peers.
  • There are also significant funds for housing in the budget reconciliation bill that will be helpful to people with mental health and substance use conditions, including $19.05B for emergency rental and utility assistance and $5B in emergency Housing Choice Vouchers with funding for 5 years of renewals, and $5B to state and local governments to finance supportive services, affordable housing and non-congregrate shelter for individuals experiencing homelessness.
  • The bill includes $195.3B in direct aid to state and local governments, which can help with looming cuts to state and local mental health budgets in an economic downturn and $130.2B divided evenly between cities and counties (including $65.1B to cities using a modified Community Development Block Grant, $45.57B for municipalities with populations of at least $50K, $19.53B for municipalities with populations of less than $50K and $65.1B to counties based on population).
Thank You For Supporting Our Mission!
For every dollar raised, Mental Health America of Indiana is able to continue to serve Hoosiers living with mental health conditions and addiction disorders. We hope that you consider giving to our cause and thank you for your support in the fight for victory over mental illness for all!
Thank you to our Annual Sponsors!