In response to the Senate Committee on Finance RFI on barriers to treatment, AAHD and the Lakeshore Foundation have submitted comments. AAHD & Lakeshore joined 8 national organizations led by No Health without Mental Health (NHMH). AAHD, a Mental Health Liaison Group (MHLG) member, joined 54 MHLG members submitting comments. The AAHD & Lakeshore letter addresses several issues not addressed by the MHLG – focusing on the need for effective integration for persons dually eligible for Medicare and Medicaid; endorsing “bi-directional” behavioral health-general health-primary care integration; focusing on the particular and complex challenges faced by a variety of persons with co-occurring disabilities and chronic conditions; quality measurement approaches; and, “peer support” and “community health workers” as reinforcing community supports. The NHMH letter focuses on bi-directional integration. Available here are the three letters – AAHD & Lakeshore; NHMH; and MHLG.