Access to insurance-funded ABA in Oregon involves a combination of five state and federal laws/statues. Changes to the Affordable Care Act could have a huge impact on our clients’ ability to acquire/access coverage for those services. A big post on this topic coming in the next day or so with information on how to contact your senators and support upholding the full ACA.
In the meantime, please read Autism insurance expert Paul Terdal’s website: Autism Insurance of Oregon and subscribe to his email list. He recently posted on some big changes to OHP and on the potential effects of an ACA repeal. Here is a quote from his summary:
“Autism Health Insurance Reform in Oregon relies on a complex combination of state and federal laws, including:
These laws overlap and enhance each other; for instance, SB365 required coverage of treatment for autism, but allowed for some age and visit limits on care; ORS 743A.168 and MHPAEA overrode those limits to provide coverage for all ages, limited only by medical necessity. The ACA extended that enhanced coverage to individual plans that anyone could purchase through the health exchange, even if they had a pre-existing condition (such as autism).
Even with a full repeal of the Affordable Care Act, health insurance policies in Oregon will still need to provide coverage of treatment for autism, with significant gaps and issues:
If you have ideas for action, please contact ORABA!