Did you know that before the Affordable Care Act (Obamacare), mental health services were often not paid for by insurance? The ACA/Obamacare requires insurance companies to pay for mental health services (depression medication, office visits, certain hospitalizations, some therapy). Around 20% of Americans use these services. If the Republicans win in November, any of us using those services can expect to immediately be paying out of pocket (if we can afford it).