mental health america; john o'brien, senior advisor for behavioral health financing, substance abuse and mental health services administration, u.s. department of health and human services. john, healthcare reform, why was it necessary? what benefits are we going to see out of it? well, ivette, we have about 50 million individuals in this country who don't have any insurance at any given point in a year. a number of them use emergency rooms and/or hospitals and that has a very significant cost for both people who have insurance, as well as employers who pay for insurance. we spend about $17.2 billion dollars on uncompensated care for those individuals. we also know that there is a significant number of people with substance abuse disorders who have benefits and don't access care, but there are a significant number of individuals who can't access care because they don't have insurance benefits. and richard, what are the major ways the affordable care act will affect the behavioral health system? the affordable care act, the behavioral health aspects of the affordable care act are based