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It all comes down to Medicaid, which H.R.1 (the One Big Beautiful Bill Act, OBBBA) and the Interim Final Rule eviscerated (see MHW , July 2025; https://onlinelibrary.wiley.com/doi/10.1002/mhw.34513 ). Those two initiatives took away Medicaid access by instituting work requirements and other barriers. Health care, including mental health, is not partisan.
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Alison Knopf (2026) studied this question.
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