Izinto ezi-5 zoMthetho oSayilwayo weMpilo yeNgqondo eNtsha unokuthetha ngempilo yakho
Umxholo
- 1. Iibhedi ezininzi zasesibhedlele
- 2. Ugqirha wezengqondo okanye ugqirha wezengqondo okhokelwa sisikhundla
- 3. Olongezelelweyo (olubalulekileyo!) Uphando
- 4. Ukhathalelo lwempilo yengqondo olufikelelekayo kubo bonke
- 5. Ukuhlaziywa kwemithetho yabucala ukuvumela 'unxibelelwano olunemfesane'
- Uphengululo lwe
Utshintsho olukhulu kwinkqubo yokhathalelo lwempilo yengqondo lunokuza kungekudala, enkosi kuMthetho wokuNceda iiNtsapho kuMthetho weMpilo yeNgqondo, ophumelele phantse ngazwinye (422-2) kwiveki ephelileyo kwiNdlu yabameli. Umthetho, uthathelwa ingqalelo olona tshintsho lubanzi kumashumi eminyaka, unokuba ngumdlalo otshintshayo kubantu abangaphezulu kwezigidi ezingama-68 zaseMelika (ngaphezulu kwama-20 epesenti yabantu baseMelika) abanamava okugula ngengqondo okanye okusetyenziswa kweziyobisi kunyaka ophelileyo, hayi ukukhankanya ngaphezulu kwezigidi ezingama-43 zaseMelika ezazijongana nolunye uhlobo lokugula ngengqondo ngo-2014.
"Olu voti luyimbali luvala isahluko esibuhlungu kunyango lwesizwe lwethu kwizigulo ezinzulu zengqondo kwaye samkela isifingo esitsha soncedo nethemba," utshilo uCongressman Tim Murphy, isazi ngengqondo yabantwana, owathi waqala wazisa umthetho oyilwayo ngo-2013 emva kweSandy. Hook Elementary School ukudubula. “Siyaligqiba ixesha lokubekwa ibala. Ukugula ngengqondo akuseyontlekisa, kujongwa njengesiphene sokuziphatha nesizathu sokuphosa abantu entolongweni. Asisayi kuphinda sikhuphe umntu ogula ngengqondo kwigumbi likaxakeka siye kusapho sithi ‘Kulungile. luck, mhoye lowo umthandayo, senze wonke umthetho uya kusivumela.' Namhlanje iNdlu ivotele ukunikezela ngonyango ngaphambi kwentlekele, ”uqhubeke watsho. (Jonga indlela abasetyhini abalwa ngayo ibala lezempilo yengqondo.)
Ukulandela imvume yeNdlu, iiSenethi uChris Murphy kunye noBill Cassidy bacele iSenethi ukuba ivote kwityala labo elifanayo UMthetho woHlengahlengiso lweMpilo yengqondo, esele ipasile kwikomiti yezempilo yeSenethi ngoMatshi. Baphikisene kwingxelo edibeneyo yokuba uMthetho oYilwayo weNdlu "awugqibekanga, kodwa into yokuba uphumelele ngokugqwesileyo bubungqina bokuba kukho inkxaso ebanzi, yokuxhasa ukulungisa inkqubo yethu yezempilo yengqondo."
I-APA iqhwabele izandla iNdlu ngokudlulisa Ukunceda iiNtsapho kuMthetho weNgxaki yeMpilo yeNgqondo kwaye umemelele iNdlu yeeNgwevu ukuba yamkele umthetho ekupheleni konyaka. "Uhlaziyo olubanzi lwezempilo yengqondo ludinga ngokungxamisekileyo kwilizwe lethu, kwaye lo mthetho wenziwe ngababini unceda ukujongana nale mfuno ibalulekileyo," utshilo uMongameli we-APA uMaria A. Oquendo, MD kwingxelo.
Ngelixa kuya kufuneka silinde ukubona ukuba le nto ishukuma njani kwinkqubo yezomthetho kwaye ngowuphi umthetho wokugqibela wezempilo yezengqondo oza kudlula, nazi izinto ezintlanu eziphambili zokuphucula impilo yengqondo.
1. Iibhedi ezininzi zasesibhedlele
Lo mthetho uyilwayo uza kujongana nokunqongophala kweebhedi eziyi-100,000 zabagula ngengqondo e-US ukuze abo bajongana nengxaki yempilo yengqondo bafumane ukulaliswa esibhedlele ixesha elifutshane ngokukhawuleza, ngaphandle kwamaxesha okulinda.
2. Ugqirha wezengqondo okanye ugqirha wezengqondo okhokelwa sisikhundla
Isikhundla esitsha sobumbano, uNobhala oNcedisayo weMpilo yeNgqondo kunye nokuSetyenziswa kweZiyobisi, kuya kwenziwa ukuba kuqhutywe uLawulo lweeNkonzo zezeMpilo yeNgqondo yokuSetyenziswa kweZiyobisi (SAMHSA), elungelelanisa iinkqubo zempilo yengqondo ye-federal ukuze i-hep iphucule umgangatho kunye nokufumaneka kothintelo, unyango, kwaye iinkonzo zokubuyisela kwisimo sangaphambili. Okona kubaluleke kakhulu, eli gosa litsha liya kufunwa ukuba libe nesidanga sobugqirha kwezamayeza okanye ipsychology enamava abalulekileyo eklinikhi kunye namava ophando.
3. Olongezelelweyo (olubalulekileyo!) Uphando
Igosa elisandula kuqeshwa liza kunikwa umsebenzi wokwenza iLebhu yeSizwe yoMgaqo-nkqubo weMpilo yeNgqondo ukuze ilandele amanani ezempilo yengqondo nokuchonga ezona ndlela zonyango zisebenzayo. Umthetho oyilwayo ukwabizela inkxaso-mali kumanyathelo obuchopho kwiZiko leSizwe lezeMpilo yeNgqondo ukunceda ukuqhuba izifundo ezijolise ekunciphiseni ukuzibulala kunye nobundlobongela kwabo banengxaki yokugula ngengqondo-uninzi lukubona kubalulekile xa kufikwa esiphelweni somjikelo wokudubula kwabantu.
4. Ukhathalelo lwempilo yengqondo olufikelelekayo kubo bonke
Umthetho osayilwayo ugunyazisa inkxaso-mali engange-450 yezigidi zeedola ukuba incede abantu abadala kunye nabantwana abanezigulo zengqondo. Amazwe aya kuba nakho ukufaka izicelo zoncedo ukunceda ukuqhuba iiklinikhi zempilo yengqondo yengingqi enikezela ngonyango olusekwe kubungqina kwabo banesidingo, nokuba banakho na ukuhlawula. Inxalenye yomthetho oyilwayo iphinda ihlengahlengise iMedicaid, efuna ukugubungela ukuhlala ixesha elifutshane kwizibonelelo zempilo yengqondo.
5. Ukuhlaziywa kwemithetho yabucala ukuvumela 'unxibelelwano olunemfesane'
Le nxalenye yomthetho oyilwayo ifuna imithetho ye-HIPAA yomdibaniselwano (emisela imigaqo yabucala yolwazi ngezempilo) ukuba icaciswe ukuze abazali nabagcini babantwana bafumane ulwazi olubalulekileyo malunga nempilo yabantwana abagula ngengqondo xa sele beneminyaka engaphezulu kwe-18. Ukutolikwa kwakhona kuya kuvumela ukuxilongwa , izicwangciso zonyango, kunye nolwazi malunga namayeza ekufuneka kwabelwane ngawo xa isiguli singenakho ukwenza izigqibo sodwa.