Utilize the gtpal system to classify a woman who is currently 18 weeks pregnant. this is her 4th pregnancy. she gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation.

The affordable care act has expanded mental health and substance abuse benefits to 62 million people and is an addition to the mental health parity act of 2008. the changes and additions require mental health coverage in small group and individual plans where people were not previously covered. what is the biggest benefit of these changes? what major challenges are still associated with mental health coverage? explain your reasoning.