Claim: US OKs Medicaid funds for large mental health facilities.
Verdict: SUPPORTS

Retrieved passages:
title: Oklahoma Department of Mental Health and Substance Abuse Services
text: $120.56, Oklahoma only spends $53.05. Despite the lack of funding, Oklahoma’s mental health system scores among the top states in its delivery of treatment. For example, the National Alliance for Mental Illness (NAMI) has scored Oklahoma’s mental health system as one of the top 6 states, giving it a “B” in NAMI’s grading of the states[5] Noting that lack of funding prevented Oklahoma from receiving an “A,” the NAMI reported that if the Department can successfully implement its state plan through added funding, “it could become a national leader in comprehensive, recovery-oriented mental health care.”[6] Some major reasons for Oklahoma’s

title: Oklahoma Department of Mental Health and Substance Abuse Services
text: innovating the way in which treatment is delivered across the state The Department, with an annual budget of over $450 million, is one of the largest employers of the State. For fiscal year 2012, the Department was authorized 1,931 full-time employees. It oversees a blended system of state-operated facilities and private contracted providers. Oklahoma consistently ranks as one of the top states for the number of individuals with mental illness and addiction,[3] but as one of the bottom states as far as behavioral health funding.[4] For example, while the national average of spending per individual for mental health treatment is

title: Oklahoma Department of Mental Health and Substance Abuse Services
text: their appointment. The Board is required to be composed of individuals meeting the following requirements: State operated facilities include: The Department is the sixth largest State agency by annual appropriations from the Oklahoma Legislature. For fiscal year 2012, the Department received $183 million in appropriations from the Legislature, equivalent to 61% of the total budget. $59 million came from fees charged by the Department for its services, or 20% of its budget. The remaining $56 million (19%) comes in the form of grants from the federal Substance Abuse and Mental Health Services Administration. All fiscal decisions are made and revolve

title: Alaska Mental Health Enabling Act
text: to fund the construction of mental health facilities in the territory. To meet the ongoing costs of the program, the bill transferred one million acres (4,000 km²) of federally owned land in Alaska to the ownership of the proposed new Alaska Mental Health Trust as a grant-in-aid—the federal government owned about 99% of the land of Alaska at the time. The trust would then be able to use the assets of the transferred land (principally mineral and forestry rights) to obtain an ongoing revenue stream to fund the Alaskan mental health program. Similar provisions had applied in other US territories

title: Oklahoma Department of Mental Health and Substance Abuse Services
text: renamed Western State Psychiatric Hospital, and now called the Northwest Center for Behavioral Health. A year later, a second state-operated facility was opened in Vinita, Oklahoma, called the Eastern Oklahoma Hospital for the Insane, later renamed to the Oklahoma Forensic Center. On October 31, 1963, President John F. Kennedy signed into law the Community Mental Health Act of 1963, which sparked a major transformation of the public mental health system by shifting resources away from large institutions towards community-based mental health treatment programs. Soon after the passage of this law, the Department created the Central Oklahoma Community Mental Health Center

title: Oklahoma Department of Human Services
text: Fund used to fund the assistance programs. The agency receives both federal and state funding and has additional sources of revenue. The agency received a state appropriation of $587 million and had a total budget of $2.3 billion for fiscal year 2013. The Department of Human Services is the largest employer in Oklahoma state government. As of February 2012, the staffing is as follows: Oklahoma Department of Human Services The Oklahoma Department of Human Services (OKDHS) is an agency of the government of Oklahoma. Under the supervision of the Oklahoma Secretary of Health and Human Services, OKDHS is responsible for

title: Oklahoma Department of Mental Health and Substance Abuse Services
text: (COCMHC), which was the first facility of its kind in the United States The Department provides services through a statewide network of programs. The core of the system is a network of 14 community mental health centers, ten nonprofit agencies with which the ODMHSAS contracts, and four state-operated centers. The state is geographically divided into 17 service areas each served by a community mental health center (some centers serve multiple areas). Each center is responsible for providing a comprehensive array of services within its service area. However, individuals seeking services may choose to seek services anywhere in the state. This

title: Oklahoma Department of Mental Health and Substance Abuse Services
text: service structure is vastly different from the organization’s original model for treatment in the mid-1960s, which was primarily in the form of institutionalization in large state hospitals. On average, nearly 6,400 Oklahomans were in the state's mental hospitals on any given day. In FY13, services were provided to approximately 187,000 individuals through the ODMHSAS system, but fewer than 5 percent of required hospital care. Most treatment takes part in mental health and substance abuse outpatient programs, targeted community-based services, prevention efforts and educational initiatives. For individuals with mental illness, the Department supports a continuum of programs from community-based treatment and

title: Oklahoma Department of Mental Health and Substance Abuse Services
text: case management to acute inpatient care. The ODMHSAS operates two state hospitals for adults and one children’s psychiatric hospital: the Oklahoma Forensic Center, Griffin Memorial Hospital, and the Children’s Recovery Center. Residential care services for adults with mental illness are provided by 25 separate residential home operators with which the ODMHSAS contracts. The Department operates substance abuse treatment and support programs within state operated facilitates, including CMHCs, and contracts for services with approximately 120 substance abuse treatment providers and 38 separate prevention programs. The Department actively supports prevention programs to reduce the occurrence of substance abuse, prevent suicide, and promote

title: Oklahoma Department of Mental Health and Substance Abuse Services
text: the Insane, Deaf, Dumb, and Blind, it was built outside the city of Tahlequah in 1873. Non-Indians with mental illness were sent out of state for treatment to the Oak Lawn Retreat in Jacksonville, Illinois, until a private company, the Oklahoma Sanitarium Company, located in Norman, Oklahoma, began treating the mentally ill on June 15, 1895. The Department continues to operate a facility at this location today, now called Griffin Memorial Hospital . Oklahoma’s first state-operated facility for the treatment of mental illness opened in 1908, in Fort Supply, Oklahoma, and was called the Oklahoma Hospital for the Insane, later

title: Oklahoma Department of Mental Health and Substance Abuse Services
text: funding available to the state and allocated to ODMHSAS ultimately determines the effectiveness and the ability to meet the overall goals of the organization. The past several years has set the tone of limited funding to ODMHSAS. Therefore, programs and treatment services within the ODMHSAS service system are constantly being monitored for their efficiency, productivity, and ability to best meet the goals of the organization. Thus, the underlying principles and strategies that drive the decision-making process of the ODMHSAS is to spend every dollar as effectively and efficiently as possible by integrating services where possible, collaborating with other organizations, and

title: Disproportionate share hospital
text: percent of each state’s total annual Medicaid expenditures. (2) Limits have been placed on how much of a state’s federal DSH allotment can be paid to institutions for mental disease (IMD). By 2002 no more than 33 percent of a state’s federal DSH allotment can be paid to institutions for mental disease. (3) DSH payments made on behalf of Medicaid clients in managed care must be paid directly to hospitals rather than plans. Through these efforts, Congress and the Clinton administration cut federal DSH payments by 5% and limited their further growth; as such, in 1998 $15 billion in Medicaid

title: Community mental health service
text: growth of skilled nursing homes and intermediate-care facilities that alleviated the burden felt by the large-scale public psychiatric hospitals. From 1965 to 1969, $260 million was authorized for community mental health centers. Compared to other government organizations and programs, this number is strikingly low. The funding drops even further under Richard Nixon from 1970–1973 with a total of $50.3 million authorized. Even though the funding for community mental health centers was on a steady decline, deinstitutionalization continued into the 1960s and 1970s. The number of state and county mental hospital resident patients in 1950 was 512,501 and by 1989 had

title: Community Mental Health Act
text: fully funded, and the act didn’t provide money to operate them long-term. Some states saw an opportunity to close expensive state hospitals without spending some of the money on community-based care. Deinstitutionalization accelerated after the adoption of Medicaid in 1965. During the Reagan administration, the remaining funding for the act was converted into a mental-health block grant for states. Since the CMHA was enacted, 90 percent of beds have been cut at state hospitals. The CMHA proved to be a mixed success. Many patients, formerly warehoused in institutions, were released into the community. However, not all communities had the facilities

title: Oklahoma Department of Mental Health and Substance Abuse Services
text: success is the fact that it has implemented nationally recognized telemedicine system which enables treatment in rural areas where doctors are scarce, as well as its implementation of programs such as its: “systems of care,” “programs of assertive community treatment (PACT),” specialty courts, and others that have stretched funding while improving outcomes. These programs have received several awards at both the state and national level in recognition of their innovation, efficiency, and effectiveness. Oklahoma Department of Mental Health and Substance Abuse Services The Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) is an agency of the Government of

title: Alaska Mental Health Enabling Act
text: contract found that the Sanatorium Company, which owned the hospital, had been padding its expenses. This had enabled it to make an excess profit of $69,000 per year (equivalent to over $588,000 per year at 2007 prices). The studies recommended a comprehensive overhaul of the system, with the development of an in-territory mental health program for Alaska. This proposal was widely supported by the public and politicians. At the start of 1956, in the second session of the 84th Congress, Representative Edith Green (D-Oregon) introduced the Alaska Mental Health Bill (H.R. 6376) in the House of Representatives. The bill had

title: Cherokee Mental Health Institute
text: hospital. Many other northwest Iowa towns also vied for the hospital, including Sheldon, LeMars, Fort Dodge, Storm Lake and "Pocahontas Center." It took 14 ballots in the legislature to give Cherokee the hospital. The legislature appropriated $12,000 to purchase a site, but it was six and a half years after the first excavation before the administration building, sitting on bare prairie land, was ready for occupancy. There was a struggle each session of the legislature to get appropriations to continue with the building. The original plan for patients was to hold alcoholics, geriatrics, drug addicts, the mentally-ill, and the criminally-insane.

title: Alaska Mental Health Enabling Act
text: been written by Bob Bartlett, the Congressional Delegate from the Alaska Territory who later became a U.S. Senator. Senator Richard L. Neuberger (D-Oregon) sponsored an equivalent bill, S. 2518, in the Senate. The Alaska Mental Health Bill's stated purpose was to "transfer from the Federal Government to the Territory of Alaska basic responsibility for the hospitalization, care and treatment of the mentally ill of Alaska." In connection with this goal, it aimed: The bill provided for a cash grant of $12.5 million (about $94 million at 2007 prices) to be disbursed to the Alaskan government in a number of phases,

title: Oklahoma Department of Mental Health and Substance Abuse Services
text: Terri White, who was appointed by the Board in 2007. The Department was established in 1953 by the Mental Health Law of 1953. The law provides that all residents in the state are entitled to care and treatment for mental illness and addiction problems in accordance with appropriate standards of care. The Department was established through the Mental Health Law of 1953, although publicly supported services to Oklahomans with mental illness date back to before statehood: the first facility in Oklahoma for the treatment of individuals with mental illness was established by the Cherokee Nation, called the Cherokee Home for

title: Jan Brewer
text: 204 in 2000. After much debate, the Governor's Medicaid Restoration plan was enacted, taking Federal money through the ACA to expand Medicaid. To serve individuals who have a serious mental illness (SMI), but do not qualify for Medicaid, $39 million was added to the budget for additional services. Arizona ranks fifth nationally in spending on community-based programs and has the fewest residents per capita living in a state psychiatric hospital. Arizona's behavioral health system for Maricopa County individuals with SMI has been overseen by the "Arnold" v. "Sarn" lawsuit for more than thirty years. Brewer and the plaintiffs reached an