This report is designed to familiarize American Counseling Association members with the concepts and terminology of managed care, and the various options for regulating managed care to safeguard the interests and rights of professional counselors and their clients. Topics covered in this report include controlling costs, private sector oversight, growing federal interest in regulation of managed care, and coalition efforts. Summaries of New York's Managed Care Law and the Patient Access to Responsible Care Act (PACRA) of 1997 are provided. A glossary of managed care terms and information on the Employee Retirement and Income Security Act and the Mental Health Bill of Rights are also provided. A sample letter in support of PACRA and a copy of Bill S.644 proposed to amend PACRA are included. (MKA)