Send us Fan Mail Laws don’t feel abstract when they land on your schedule, your billing, or your client’s ability to get through the front door. We’re back with a summer policy check-in that connects Ohio legislative news, federal rulemaking, and real clinical impact for counselors across the state. We start in Ohio, where a vetoed absentee voting bill highlights how barriers to civic participation can hit the same communities we often serve. Then we dig into a big practice-stability win: new limits on insurance clawbacks, plus the Access to Care bills that could improve network adequacy, stop retroactive prior authorization denials for behavioral health, and require private insurers to cover telehealth mental health services. We also unpack fresh data on reimbursement gaps, provider shortages across Ohio counties, and what a steep drop in ACA marketplace enrollment could mean for clients who suddenly can’t afford coverage. From there, we zoom out to Washington. We break down the proposed Medicare Physician Fee Schedule, including the plan to extend the mental health telehealth in-person waiver, and why the numbers still matter for reimbursement. We also flag the “Do No Harm” earnings benchmark rule that could squeeze counseling programs and student loan access, even as the workforce shortage grows. Finally, we cover the status of 988’s specialized LGBTQ youth routing, what to update in safety plans right now, and the growing reach of the counseling compact for interstate telehealth. If you want clear, counselor-focused mental health policy updates without the fluff, subscribe, share this with a colleague, and leave a review so more counselors can find it. State Level Gov. DeWine Vetoes HB 472 (Absentee Ballot ID Requirement) — No action needed; resolved. SB 162 Signed Into Law (Insurer Recoupment Timeframe) — No action needed; know your new rights on billing clawbacks. HB 219 — Network Adequacy Standards (Pending) — (SUPPORT) Contact your state rep to prioritize this bill when session resumes. HB 220 — Bars Retroactive Prior Auth Denials for MH/SUD Care (Passed House) — (SUPPORT) Contact your state rep to prioritize this bill when session resumes. HB 709 — Requires Telehealth Mental Health Coverage (Pending) — (SUPPORT) Contact your state rep to prioritize this bill when session resumes. Ohio Kids Losing Access to Mental Healthcare — (UPDATE) Use this data when advocating for HB 219/220/709. Ohio's Largest-in-the-Nation ACA Marketplace Enrollment Drop — (UPDATE) Check in with clients about coverage changes at intake/renewal. 30% of Ohio Women Didn't Get Needed Reproductive Care — (UPDATE) No specific action; context for client conversations. Funding Gaps and Stigma Driving Ohio LGBTQ+ Health Disparities — (UPDATE) Consider affirming-care CEU/training opportunities. House Bill 172 — Repeals ORC 5122.04 (Minor Consent for Mental Health Services) – (OPPOSE) Submit written testimony, contact your state rep to discuss in person.Senate Bill 274 — Repeals ORC 5122.04 (Minor Consent for Mental Health Services), Senate Companion to HB 172 – (OPPOSE) Submit written testimony, contact your state senator to discuss in person.ODM Recognizes DC:0-5 Diagnostic System for Infant/Toddler Mental Health — (UPDATE) No action needed; know the new billing crosswalk is available if you treat clients ages 0–5. Federal Level CMS Releases CY2027 Medicare Physician Fee Schedule Proposed Rule — (OPPOSE Cuts to Fee Schedule) Submit comments by Sept. 14 (file code CMS-1848-P) at regulations.gov. "Do No Harm" Earnings Provision Now in Effect, Threatens Counseling Education Programs — Contact your members of Congress and urge them to protect counseling and other helping-profession programs from this earnings test via ACA's Take Action center. SB 5017 Bipartisan Senators Introduce More Paid Leave for More Americans Act — (SUPPORT) No action needed yet; bill just introduced. Good context for clients navigating unpaid leave, postpartum stress, or caregiver burnout. H.R. 8800 National Defense Authorization Act SAVE America Act Attached to NDAA — Voter ID/Registration Bill (Contested, Outcome Uncertain) — (SUPPORT) Civic participation is a protective factor for many clients — documentation barriers under debate would land hardest on older adults, name-changed individuals, and people without easy passport/birth certificate access. H.R. 139 - House Passes Sunshine Protection Act (Permanent Daylight Saving Time) — (UPDATE - WATCH) No action needed; informational. HHS Withdraws Rule Threatening Hospital Medicare/Medicaid Access Over Trans Youth Care — (WATCH) Continue monitoring; situation still developing. Other — Advocacy & Community 988 LGBTQ+ "Press 3" Option: One Year Since Shutdown, Still Not Restored — Update your referral lists; in the meantime, the Trevor Project's own 24/7 line is 1-866-488-7386. Contact your representative to push HHS to move faster. Pennsylvania Becomes 40th State to Join the Counseling Compact — No action needed; informational. ACA Hill Day — Registration Closes July 31 @ 11:59 PM — Register now. AOCC Registration Open — Early Bird Pricing — Register now to lock in the discount. Connect with Us on Any or All Socials at our Link Tree! OCA Link Tree: https://linktr.ee/ohiocounseling Created by the OCA's Media, Public Relations, and Membership (MPRM) Committee & its Podcast Subcommittee Hosted by Dr. Marisa Cargill Pre-Production & Coordination by Dr. Marisa Cargill, Lauren Collins-Knight, Victoria Frazier, and Mariah Payne Editing by Dr. Marisa Cargill