There is a national debate underway about the regulation of health insurers and insurance benefit standards. To reduce regulatory burdens, the Executive Branch enacted changes that weaken essential health benefit requirements, which require coverage of mental health and substance use services. The Executive Branch has also proposed regulations that will expand the availability of health plans that can discriminate against people with mental health and substance use disorders. This political position puts vulnerable Americans—especially those with mental health and substance use disorders—at risk of losing access to much-needed health care.