State Advocacy

AAMFT is involved in advocating for the interests of MFTs at the state level. AAMFT advocates for recognition of MFTs by state-licensed insurance companies and state Medicaid plans. AAMFT also works to add MFTs as eligible providers in state employee health plans and the inclusion of MFTs as eligible providers in the public schools. Below is some useful information about these topics. For recent updates on advocacy initiatives, please take a look at our Advocacy Blog. If federal and/or state MFT advocacy is of interest to you, consider joining the Family TEAM, AAMFT’s grassroots advocacy network


Medicaid is the largest provider of mental health services in the United States. Most states now have at least some recognition of MFTs within their Medicaid programs.


All states offer some form of health benefits for eligible state employees and their dependents. Approximately 3.4 million state employees and retirees are covered by a state employee health plan.

State Job Classification

State governments are a major employer of mental health professionals. In general, a state job classification for MFTs must be created before state agencies can hire MFTs to serve within state government.

MFTs in the School

School mental health services are an important component of mental health coverage for children, and public school districts directly employ mental health professionals to perform these vital services. Vendorship: In a majority of states, MFTs have achieved recognition under state Freedom of Choice (Vendorship) and Any Willing Provider laws. These laws require certain health plans to reimburse MFTs for providing mental health services covered by the plan.

Federal Issues

AAMFT is involved in many federal initiative including Medicare, VA, DoD and K-12 among many others. Learn more about these initiatives.

Private Payer Information

AAMFT works to increase the recognition of MFTs as eligible providers with private health insurance plans and other private payers. This effort to increase MFT access to private health plans involves both advocating for laws requiring plans to recognize MFTs and advocating directly for MFT recognition with these payers.

Understanding the Benefits of Marriage and Family Therapy

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