The Interdepartmental Serious Mental Illness Coordinating Committee (ISMICC) recently released its first report to Congress detailing major barriers to treatment for individuals with serious mental illness (SMI) or serious emotional disturbance (SED) that offers an initial assessment of the current needs of Americans. The report presents the status of federal activities, a summary of advances in the care and treatment, and research and strategies to improve services for individuals with serious mental health diagnoses. The Committee was established in 2016 by the 21st Century Cures Act to improve federal coordination of efforts that address the pressing needs of adults with SMI and children and youth with SED.