By Disability Scoop
Despite a heavy lobbying effort, the Obama administration declined to include autism therapy in final rules this week defining what must be covered by insurers under health care reform.
Many states have established mandates in recent years requiring at least some health insurance plans to include coverage of behavior therapy to treat autism. But with the passage of the 2010 health care reform law, advocates were hopeful that a nationwide standard would be established.
Under the federal law, most health insurance plans will be required to cover 10 so-called “essential health benefits” starting next year, one of which is “mental health and substance use disorder services, including behavioral health treatment.”
Autism advocates urged regulators to include a requirement that applied behavioral analysis, or ABA therapy, be covered in rules governing what exactly qualified as a “behavioral health treatment,” but a final rule issued this week makes no mention of the treatment. Read more here.