When it comes to reopening in the midst of COVID-19, Texas is certainly setting the pace. On May 18, Gov. Greg Abbott announced the latest phase in his plan to restart the state’s economy, permitting child care facilities, restaurants and select other venues to begin operation — albeit at a limited capacity.

The move predictably garnered national attention, with many commentators discussing the potential ramifications of the governor’s decision and speculating on the physical harm it could cause.

There’s only one problem: By focusing merely on the bodily health of Texans, we’re obscuring the bigger picture. In times of crisis, mental health concerns are just as important as physical ones.

In Texas alone, nearly 6.5 million people experience mental illness — and their conditions are all too often exacerbated by the very circumstances the pandemic created. Increased stress, fear, uncertainty and isolation can wreak havoc on a person’s mental health.

Now, more than ever, individuals with mental illness require every social and financial resource available to them — not just in Texas, but across the nation. Unfortunately, the federal government recently finalized a rule that will make access to financial resources that help patients pay for vital prescription drugs much more difficult to obtain.

In an unfortunate turnaround from the year prior, Health and Human Services will now allow insurers to exclude vital manufacturer cost-sharing assistance from patients’ annual deductibles or out-of-pocket maximums.

The change will permit insurance companies to expand the use of so-called “accumulator adjustment programs” — health insurance tools that prevent co-pay assistance from counting toward a patient’s out-of-pocket maximum. As a result, patients who rely on expensive prescription medication will end up paying a substantial premium to acquire the drugs they need to thrive.

As insurers begin expanding the use of accumulator adjustment programs, patients suffering from chronic but manageable conditions could face massive surprise pharmaceutical bills totaling thousands of dollars.

Faced with these unexpected, unwelcome costs, many patients may be forced to abandon their prescriptions entirely, forgoing their health to keep money in their bank account and food on their table. Effectively, the change in policy incentivizes people to skip out on taking their medications — and this reality is disastrous for those suffering from mental illness.

As it stands, Americans combatting mental illness already face a greater risk of medication non-adherence. Our government policy and insurance programs should attempt to make it easy for people to adhere to their prescription medications. But by erecting additional financial hurdles, accumulator adjustment programs are only making it more difficult for people living with mental illness to receive the treatment they require.

Ultimately, accumulator adjustment programs are disastrous for all parties involved. Not only do they sour relations between patients and the insurance companies, but they also lead to lower standards of care and poorer health care outcomes. Far more than the reopening of businesses in Texas, accumulator adjustment programs are an enormous threat to the mental health of all Americans — they should be banned from health plans altogether.

Greg Hansch serves as the executive director of National Alliance on Mental Illness Texas.

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(2) comments

Bailey Jones

Sounds like you're saying that we should make treatment of mental illness more accessible to more people. I agree. The alternative is what we have now - a prison system that's the largest mental illness service in the country.

PD Hyatt

I do not think that our leaders give a flip about the mentally ill, or the businesses that bring in the tax dollars to pay the bills for anything. All they can see is fear, fear and more fear that has been pounded into them by the MSM and is still being pounded into them.

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