Laws and budgets rewired the counseling landscape this year, and the ripple effects reached every waiting room in Ohio. We unpack what changed, what stalled, and where small advocacy moves can still flip outcomes—especially around parity, youth privacy, LGBTQ protections, and the counseling workforce pipeline.
We start with the three forces that kept shaping care: access as infrastructure, higher education as the pipeline, and culture-war policy as clinical reality. From the federal pause on enforcing the MHPAEA Final Rule to Ohio bills that would narrow minors’ confidential access, we connect the dots between committee rooms and client sessions. You’ll hear clear updates on House Bills 172, 162, 390, 415, 324, and 249; the status of the Counseling Compact and why implementation timing matters; and how budget decisions affected libraries, shelters serving trans and non-binary youth, and coverage for gender-affirming care. We also chart the impact of Medicaid proposals, SNAP stability, and payment reforms that determine whether practices can keep doors open.
We dig into telehealth flexibilities during the federal shutdown, the end of specialized 988 support for LGBTQ youth, and why misinformation around school screenings and reproductive health fuels shame and avoidance. On the horizon: proposed federal loan caps for non-doctoral graduate programs set to reshape who can afford a CACREP-aligned counseling degree and who gets left on a waitlist. Throughout, we translate policy into practice—what it means for denials, documentation, caseloads, and the trust needed to do effective therapy.
Walk away with a focused watchlist for 2026: parity enforcement, insurer practices, telehealth stability, youth confidentiality, affirming care protections, Medicaid policy, and student loan rules. Subscribe, share with a colleague who needs the quick policy download, and leave a review telling us the top policy you want us to track next.
Resources:
OCA Link Tree: https://linktr.ee/ohiocounseling
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Created by the OCA's Media, Public Relations, and Membership (MPRM) Committee & its Podcast Subcommittee
·Hosted by Dr. Chase Morgan-Swaney
·Pre-Production & Coordination by Marisa Cargill, Victoria Frazier, Mariah Payne, and Chase Morgan-Swaney
·Editing by Marisa Cargill
