CLINICAL SOCIAL WORK ASSOCIATION

The National Voice for Clinical Social Work

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CSWA ALERTS


CSWA is proud to vigilantly monitor issues within the field of clinical social work, and national legislation that affects clinical social workers. Please see below for a history of those announcements and legislative alerts. To receive timely information directly to your inbox, join CSWA today

  • December 30, 2024 3:50 PM | Anonymous member (Administrator)


    August 10, 2023

    Please visit https://jswve.org/volume-20/issue-1/item-03/ for an editorial written by our Director of Policy and Practice and Board President. 

  • December 30, 2024 3:48 PM | Anonymous member (Administrator)


    August 2023

    Please visit the CSWA Position Papers page to view the Position Paper on Artificial Intelligence and Psychotherapy.

  • December 30, 2024 3:46 PM | Anonymous member (Administrator)


    July 29, 2023

    For the past year, I have been working on a document with NASW on Clinical Social Work Standards. A draft of this document has been released for public comment. I hope all CSWA members will take a look at it and offer your comments. You can find it at https://www.socialworkers.org/Practice/Clinical-Social-Work/Practice/clinical-social-work-standards-draft-forum2. The comment period is open until September 15, 2023.

    This is kind of a condensed version of the Private Practice in Clinical Social Work: A Reference Manual, which I also participated in developing with NASW, released in 2021.

    Please send me your thoughts as well.

    - Laura Groshong, LICSW, CSWA Director of Policy and Practice

  • December 30, 2024 3:44 PM | Anonymous member (Administrator)


    July 12, 2023

    Good news! On July 7th, 2023, Governor Mike Parson signed Senate Bill 670 and Senate Bill 157 making Missouri the first state to enact the Social Work Licensure Compact. This is a milestone development in supporting the mobility of licensed social workers.

    SB 670 was sponsored by Senator Travis Fitzpatrick and Senator Lauren Arthur, and SB 157 was sponsored by Senator Rusty Black.

    The Social Work Licensure Compact seeks to increase public access to social work services, provide licensees with opportunities for multistate practice, support relocating military families, and allow for expanded use of telehealth technologies. Currently, the model compact legislation is available for other states to introduce and enact like Missouri. Thus far there have been nine other states that have introduced: Utah, Kentucky, Vermont, New Hampshire, New Jersey, Georgia, South Carolina, North Carolina, and Ohio.

    How is the Social Work Compact progressing in your state?

    If you have not reached out to your legislators to let them know about the Compact, please start the process now. You can find the materials to use on the Compact Information page on the CSWA website.

    Please let me know when you have 1) a pending or passed bill in your state, 2) a legislator who is willing to sponsor the bill, 3) if you need assistance in finding a legislator to sponsor the Compact bill, and/or 4) have talked to NASW about working together to get the Compact going.

    Let me know when you have any information on the above issues.

    - Laura Groshong, LICSW, CSWA Director of Policy and Practice

  • December 30, 2024 3:42 PM | Anonymous member (Administrator)


    June 29, 2023

    By Laura Groshong, LICSW, Director, Policy and Practice

    Here are two issues which I hope you will all address with your members of Congress and your state legislature.

    For Members of Congress:

    • H.R. 2474 is a bill which would improve Medicare reimbursement rates by using the rate of inflation as the way to adjust reimbursement each year instead of the Physician Fee Schedule (PFS) which does not use inflation as a factor.
    • H.R. 2474 would also tie reimbursement to the Medicare Economic Index which is based on provider expenses and other economic trends.
    • Medicare rates have not increased since 2001, making payments 26% lower today than they were then, when adjusting for inflation. This is one of the major reasons that LCSWs are opting out as Medicare providers. There is a freeze on updated reimbursement until 2026.
    • Though this is a House bill, please let your Senators know as well. You can contact them all at https://www.congress.gov/contact-us. Here is a message you can use or change it to use your own words: “I am a Licensed Clinical Social Worker and a constituent. Please support H.R. 2474 which will make Medicare reimbursement more equitable for mental health services. Reimbursement rates have not increased since 2001 and are therefore 26% less when adjusted for inflation. LCSWs are opting out as Medicare providers, leaving vulnerable beneficiaries without adequate mental health services. Thank you for your support.”

    For State Legislatures:

    • The Social Work Compact is now available to be passed by state legislatures. There are 10 states which have begun the process of getting the bill passed; Missouri has already passed the bill. We need six more states to create the Commission to oversee the Compact.
    • Here is a map of the 26 states that have passed the Counselor Compact, https://counselingcompact.org/map/. These states should be open to passing the Social Work Compact as well.
    • For more information on how to make your state legislators aware of the Social Work Compact, go to the Compact Information page on the CSWA website.

    Please let me know when you have sent messages to Congress and members of your state legislatures. Thanks for your help.

  • December 30, 2024 3:38 PM | Anonymous member (Administrator)


    June 20, 2023

    Looking for a way to be more involved? Organizations that Offer Support for Trans People

    To follow up on our Position Paper released in April, please find resources below that may be helpful in promoting efforts to block anti-trans bills, notably relative to the provision of gender-affirming care.

    • ACLU is one of the main organizations opposing bills to limit trans rights. Below is a link to an effort to protect a trans woman in prison in DC and a map that shows which states have the most bills to limit trans rights:

    https://www.acludc.org/en/cases/hinton-v-district-columbia-challenging-department-corrections-policy-discriminatorily-housing

    https://www.aclu.org/legislative-attacks-on-lgbtq-rights

    • Them.us has an excellent list of 100 organizations in all 50 states that are fighting anti-trans rights:

    https://www.them.us/story/orgs-fighting-back-anti-trans-legislation

    • Npr.org has a report on anti-trans legislation in sports:

    https://www.npr.org/2022/11/28/1138396067/transgender-youth-bills-trans-sports

    • Here and Now on NPR has a discussion of the impact of anti-trans campaigns on the mental health of trans youth in particular:

    https://www.wbur.org/hereandnow/2023/06/16/anti-trans-laws-mental-health

    • CNN has a graph showing the increase in anti-LGBT bills. In 2018 there were 42 bills filed in state legislatures; in 2023 there were 412:

    https://www.cnn.com/2023/04/06/politics/anti-lgbtq-plus-state-bill-rights-dg/index.html

    • Here is a newly published article by Allan Barsky, PhD, that offers some ideas about the ethical responsibilities of clinical social workers to oppose anti-trans bills:

    Barsky, A. E. (2023, June 16). Ethics Alive: Urgent Alert – “Some states have banned gender-affirming care for transgender minors. What are our responsibilities?” The New Social Worker.

    https://www.socialworker.com/feature-articles/ethics-articles/urgent-alert-states-banned-gender-affirming-care-social-workers-responsibilities

    Please let us know if you have other resources that we can share with CSWA members. CSWA will continue our efforts to oppose anti-trans legislation and other harmful practices.

  • December 30, 2024 3:36 PM | Anonymous member (Administrator)


    June 8, 2023

    Below are the materials to use to begin lobbying for the creation of the Social Work Compact. They are hopefully self-explanatory but let me know if you need any further information or direction. Please start the process in the next couple weeks.

    Many thanks,

    Laura Groshong, LICSW, CSWA Director of Policy and Practice

    Background on SW Compact 6-23

    LCSW Compact - Lobbying 6-23

    SW Compact - Bullet Page 2023

  • December 30, 2024 3:32 PM | Anonymous member (Administrator)


    June 2, 2023

    Here is some clarifying information about Medicare’s requirement that patients that are being seen through telemental health must have an in-person session every six or twelve months.

    The language from Medicare is as follows (yellow outline is mine):

    Telehealth includes certain medical or health services that you get from your doctor or other health care provider who's located elsewhere (or in the U.S.) using audio and video communications technology (or audio-only telehealth services in some cases), like your phone or a computer. You can get many of the same services that usually occur in-person as telehealth services, like psychotherapy and office visits.

    Through December 31, 2024, you can get telehealth services at any location in the U.S., including your home. After this period, you must be at an office or medical facility located in a rural area (in the U.S.) for most telehealth services.

    You can get certain Medicare telehealth services without being in a rural health care setting, including:

    • Monthly End-Stage Renal Disease (ESRD) visits for home dialysis.
    • Services for diagnosis, evaluation, or treatment of symptoms of an acute stroke wherever you are, including in a mobile stroke unit.
    • Services to treat a substance use disorder or a co-occurring mental health disorder (sometimes called a "dual disorder"), or for the diagnosis, evaluation or treatment of a mental health disorder in your home. (https://www.medicare.gov/coverage/telehealth)

    In short, diagnosis and treatment of mental health disorders will be covered by traditional Medicare until at least 12/31/24 without an in-person session. Audio only treatment will be covered “in some cases” so more guidance is needed on what the cases are that will be covered.

    Treatment overseen by Medicare Advantage, or commercial insurers, may or may not require in-person sessions, and may or may not cover telemental health or audio only treatment.

    I hope this clarifies the situation for now. Let me know if you need more information.

    - Laura Groshong, LICSW, CSWA Director of Policy and Practice

  • December 30, 2024 3:31 PM | Anonymous member (Administrator)


    May 25, 2023

    Here is a clarifying announcement from CMS about coding and requirements for in-person meetings. Most of this information was sent last month. There is coding information about audio only which should be followed. Though the information is for rural health clinics it also applies to private practice elsewhere.

    The information can be found at https://www.cms.gov/files/document/se22001-mental-health-visits-telecommunications-rural-health-clinics-federally-qualified-health.pdf.

  • December 30, 2024 3:30 PM | Anonymous member (Administrator)


    May 17, 2023

    Please visit the CSWA Position Papers page to view the Position Paper on Trans Youth. 

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Granville, Ohio  43023

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