Medicaid expansions to previously ineligible low-income individuals and the state-level exchanges will together extend health insurance coverage to an additional 32 million people. That's the good news. The bad news is that the coverage for persons with mental illness may in many cases be inadequate, and it may even be less generous than the de facto coverage that is currently provided through state-funded programs for the uninsured. In the second article, Garfield and colleagues (2) review coverage of mental health services under typical commercial (employer-based) coverage as well as Medicare, Medicaid, and other publicly funded programs, and they assess the options for addressing likely gaps in coverage that will arise under reform. States are not uniform in their Medicaid and other programs, but persons with serious mental illness getting care through these payers generally have access to a wider range of services, including nontraditional medical services, than do enrollees in commercial coverage or Medicare. Under the PPACA, states can offer Medicaid "lite" to the newly covered, and indeed, there is no "maintenance of effort" clause requiring states to maintain Medicaid benefits even for the previously eligible. Coverage in state exchanges features parity, but these will be basic health insurance plans with plenty of cost sharing. It is uncertain—and even doubtful—whether these plans will cover much in the way of nontraditional benefits crucial for many with mental illnesses.