Public Health Biology Case Review: University Public Health Analysis

This case review examines the critical aspects of public health biology, focusing on the impact of Medicaid expansion and the Affordable Care Act (ACA) on children's behavioral and mental health services. The analysis addresses the challenges faced by families in accessing necessary care, the financial implications of inadequate funding, and the ethical considerations surrounding the denial of services. The review highlights the importance of state-level policies, the need for consistent Medicaid coverage, and the opportunities presented by the ACA to expand access to behavioral health services for mentally ill children. It explores evidence of system development for health policy and related programming, emphasizing the role of community programs and advocacy groups in improving access to care. The case study references key literature and provides a comprehensive overview of the complexities within public health ethics.

Running Head: PUBLIC HEALTH BIOLOGY: CASE REVIEW
PUBLIC HEALTH BIOLOGY: CASE REVIEW
Name of the Student:
Name of the University:
Author Note:

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PUBLIC HEALTH BIOLOGY: CASE REVIEW
Question 1)
The elements of broad strategic thinking demonstrated here can be referred to the
necessity needed in the medical standards that is mainly based on the ways of providing care
through basic clinical standards, which in case may appear as reasonable and appropriate.
States indulged with FMA and preferred to address all remedies for a mental condition or
Medicaid-eligible for child’s bodily, even if service insurance is elective for adults included with
the aid of Medicaid. FMA is forbidding the states to deny or helps in the reduction of the
amount, duration, carrier to another eligible recipient solely due to the diagnosis, illness, or
condition. Amid the regulations of FMA and the U.S. The Health and Human Services
Department, which overlooks the Medicaid program, excluding the children behavioral health
treatments with developmental and autistic disabilities. Differences between states in recognition
of reimbursement for particular services, including mental and behavioral health care,
demonstrate the need for greater steadiness in the Medicaid coverage requirements and the lack
of equality between physical and mental health coverage.
Question 2)
Due to inadequate funding for Medicaid-eligible children's behavioral and mental health
services, a few parents have no choice but to surrender their child to the child welfare system so
that the child receives full coverage for the requisite mental and behavioral health services. This
leads to major changes in spending from Medicaid to the child care program of the state(Holland,
2015). This is, when a state offers Medicaid-eligible children with federally approved services,
reception of financial aid from the government in order to pay for the costs. It can be observed
that when a state does not mandate the Medicaid services and the family surrenders their child to

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PUBLIC HEALTH BIOLOGY: CASE REVIEW
state custody in order to enable the baby to undergo care, the state pays the cost of the formerly
denied Medicaid costs additionally the cost of entitlements that the child acquire as a state ward.
Question 3)
The ACA Medicaid expansion (Frean, Gruber & Sommers, 2017) provides a window of
opportunity for children(Matthews et al, 2015) with mental illnesses to increase coverage for
behavioral health care (Frank, Beronio & Glied, 2014).Although the primary financial burden of
Medicaid expansion will be borne by the federal government, some states have voted not to
participate in this growth for political reasons.
Question 4)
Yes, there are evidences of systems development for health or social policy and related
programming specifically mentioning the ACA Medicaid expansion program helps in the
expansion offers an opportunity to expand coverage of behavioral health services for mentally ill
children.
Question 5)
The denial of the psychologists to provide payment for children suffering from autism
like Sam (Holland, 2015) along with not including behavioral management under medical
necessity can be implemented while dealing with local community programs. Members of the
state legislature and advocacy groups on child mental health are aggressively expanding access
to mental health services at home and in the community. The provision of limited behavioral and
mental health and services and the use of narrow medical needs to limit access to such services
can help in improving the mention of two points while incorporating community programs for
local areas.

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PUBLIC HEALTH BIOLOGY: CASE REVIEW

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PUBLIC HEALTH BIOLOGY: CASE REVIEW
References:
Frank, R. G., Beronio, K., & Glied, S. A. (2014). Behavioral health parity and the Affordable
Care Act. Journal of Social Work in Disability & Rehabilitation, 13(1-2), 31-43.
Frean, M., Gruber, J., & Sommers, B. D. (2017). Premium subsidies, the mandate, and Medicaid
expansion: Coverage effects of the Affordable Care Act. Journal of Health
Economics, 53, 72-86.
Holland, S. (2015). Public health ethics. John Wiley & Sons.
Matthews, H., Schulman, K., Vogtman, J., Johnson-Staub, C., & Blank, H. (2015). Implementing
the Child Care and Development Block Grant Reauthorization: A Guide for
States. Center for Law and Social Policy, Inc.(CLASP).