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The big winner with omnibus spending bill: Seniors on Medicare

Crystal Graham
matthew fullen
Image courtesy Virginia Tech

For people who receive Medicare insurance, Congress’ omnibus spending bill could be a game changer. If passed this week and signed by the president, the bill would expand the nationwide network of mental health providers, including marriage and family therapists and mental health counselors, who are accepted under Medicare.

Matthew Fullen, an associate professor of counselor education at Virginia Tech and a scholar on gerontology issues, has been researching Medicare and access for senior adult populations for much of his professional life.

Under the current system, he estimates that 35 to 40 percent of the mental health workforce is left out of the Medicare network.

Fullen advocates for a modernized Medicare program that would provide greater access for senior adult patients who need these services but can’t seek the necessary providers because they are not covered by their insurance.

“Medicare is a right earned by being a citizen in the United States, so the irony is that there isn’t an alternative without getting this legislation passed,” Fullen said. “It’s a historic shift in what’s available to this population.”

The legislation would bring Medicare up to a parallel standard to private insurance, he said.

“It really modernizes the workforce, and that’s especially impactful in rural communities and other areas where there may be an overlapping workforce health care shortage,” Fullen said.

“What we’re seeing in this omnibus package is there is bipartisan support. There is an emerging consensus that Medicare beneficiaries deserve the same access to mental health care. This impacts people in communities across the country.”

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Crystal Graham

Crystal Graham

A 1999 graduate of Virginia Tech, Crystal Graham has worked for 25 years as a reporter and editor for several Virginia publications, written a book, and garnered more than a dozen Virginia Press Association awards for writing and graphic design. She was the co-host of "Viewpoints," a weekly TV news show, and co-host of "Virginia Tonight," a nightly TV news show, both broadcast on PBS. Her work on "Virginia Tonight" earned her a national Telly award for excellence in television. You can reach her at [email protected]

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