Comment on CMS-2026-1916-0001

Summary: American Psychological Association Services, Inc. opposes the proposed rule, arguing that it exceeds the scope of authority granted by the "One Big Beautiful Bill Act" (H.R. 1) and would significantly reduce federal funding for State-Directed Payments (SDPs). The organization contends that the rule imposes arbitrary payment limits, creates burdensome administrative requirements for states, and threatens access to behavioral health services for underserved populations.