![]() ![]() In 2017, Medicaid covered 2.9 million low-income adults under 65 with serious mental illness, or 28% of nearly 11 million Americans with serious mental illness, according to a Kaiser Family Foundation analysis of the latest government data available. But limits on federal financing would have forced states to confront hard choices over competing priorities like mental health or addiction treatment, nursing home costs or prenatal care for low-income women. The administration says that’s not really a cut, since spending would have continued to grow, just more slowly. That would have led to a cut of about $1.4 trillion over 10 years from currently projected levels of federal spending. This year Trump again proposed to turn the program over to the states, limiting future federal financing. The Parkland shootings last year at a Florida high school heightened sensitivity to the mental health needs of students.īut such increases for specific programs pale in comparison to the impact of Medicaid cuts. The president’s 2020 budget does call for some spending increases on smaller mental health programs, including an increase of $15 million, for a total of $107 million, to expand school-based programs. Such proposals failed to advance in Congress, even when both chambers were under Republican control. ![]() Trump’s budgets would have slashed the federal-state Medicaid program, which provides health insurance for more than 70 million low-income and disabled people and is also the major source of public funds for mental health treatment. THE FACTS: His words don’t match his past actions. TRUMP: “We must reform our mental health laws to better identify mentally disturbed individuals who may commit acts of violence and make sure those people not only get treatment, but, when necessary, involuntary confinement.” - remarks Monday. Trump has shown no interest in taking up that issue. Some Democrats have called for even stronger measures such as renewing a federal ban on assault weapons, which was put in place during the Clinton administration before it expired under President George W. But he later retreated, expressing support for modest changes to the federal background check system and for arming teachers. The White House threatened a presidential veto if those measures passed Congress.Īt a February meeting with survivors and family members of the 2018 Parkland, Florida, school shooting in which 17 people died, Trump promised to be “very strong on background checks.” Trump claimed he would stand up to the gun lobby and finally get results in quelling gun violence. In February, the House approved bipartisan legislation to require federal background checks for all gun sales and transfers and approved legislation to allow a review period of up to 10 days for background checks on firearms purchases. Republican lawmakers and gun advocates criticized the regulation for reinforcing a stereotype that people with a mental disorder are dangerous. The rule didn’t make certain people ineligible to buy a firearm, but was designed to ensure the background check system was comprehensive. Under the rule, the Social Security Administration was supposed to provide information to the gun-buying background check system on recipients with a mental disorder so severe they cannot work or handle their own benefit checks. Within weeks of taking office, Trump scrapped a federal rule imposed by President Barack Obama that could have made it harder for some mentally ill people to own guns. In December 2018, the Trump administration also banned bump stocks, the attachments that allow semi-automatic weapons to fire like machine guns and were used during the October 2017 shooting massacre in Las Vegas.īut he has rolled back some restrictions, reneged on pledges and resisted Democratic calls to toughen other gun control laws. It’s true that after other mass shootings Trump called for strengthening the federal background check system, and in 2018 he signed legislation to increase federal agency data sharing into the system. ![]()
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