Under the new health-care legislation mental health and substance use disorder benefits must be offered on a parity with other medical and surgical benefits for all insurance plans. There can be no annual or lifetime limits or denial of benefits based on pre-existing conditions. There will be special support for the delivery of services, education and research for depression. The increased Medicaid eligibility will provide more mental health services and there will be some special demonstration projects under Medicaid. There is a 5% increase scheduled for psychotherapy services under Medicare. However there are some complicated issues concerning Medicare rates which need to be worked out including the feasibility of psychotherapy being provided under the prevailing fee schedule.