- State legislators – set policy and/or provide funds for state and local services and supports
- Governors – appoint key state agency positions, such as the head of the state Medicaid agency and Department of Mental Health, and set policy for some state services and supports
- Elected insurance commissioners – enforce health insurance parity and patient protection laws
- Elected judges – recommend or set criminal justice system responses to people with mental illness (such as treatment courts and jail diversion programs)
- Elected attorneys general – provide counsel to the state legislature and state agencies on parity and patient protection laws and enforce these laws
Governors and state legislators serve 2-4 year terms, which vary by state. Learn more about governors’ terms here and state legislators’ terms here.
Some insurance commissioners and state attorneys general are elected, while some are appointed. Find out more about your state’s insurance commissioner here and your state’s attorney general here.