OIT conducts research on Behavior Analysis practices

Oregon Tech faculty and colleagues are conducting a survey on behavior analysis practices. The survey seeks to identify the common processes used by practicing behavior analysts to solve clinical problems. The purpose of this survey is to inform the development of practical experience opportunities for students that will best prepare students to successfully work in applied settings after they have graduated and obtained certification.

If you decide to participate in this 10-15 min research study, you will be asked to respond to several demographic and experience-related questions and then no more than 11 questions about the steps you take when addressing novel clinical problems. There are opportunities for you to comment or add additional information to restricted choice questions, however, this is not required.

All responses will be anonymous. Participation in this survey does not involve more than minimal risk. Benefits for participation may include a contribution to the field in the form of academic and experience programs focused on developing more highly qualified practitioners in the future and the potential to re-evaluate some of your own current clinical practices.

Please use the link below to access this survey. We appreciate your time and thank you.

https://oit.co1.qualtrics.com/jfe/form/SV_1M7EPyqVoOSHFrv

Updated BARB forms from the HLO

As a result of the last Rules Advisory Committee meeting, the Health Licensing Office has updated the forms from the Behavior Analysis Regulatory Board! New fillable PDFs allow tabbing between fields (for some forms) and the Competency Assessment/Knowledge Skills List has been updated to reflect the wording in the full document (e.g. RBAIs no longer need to understand the difference between EAB and Methodological Behaviorism).

 

 

State licensure rules update for RBAI applicants

This change was adopted into the permanent rules on 7/28/17

From Oregon Health Licensing Office:

Interventionist registration option added

Monday, June 05, 2017

House Bill 2931 has added an option for behavior analysis interventionist applicants. Now, individuals can submit documentation of a high school diploma or General Educational Development (GED) certificate OR a degree from a post-secondary institution. (OAR 824-030-0040 will be amended to reflect the change.) All other rules regarding registration remain in effect.

Legislation Alert – proposed changes for education requirements for RBAIs.

Currently, anyone wishing to become a Registered Behavior Analysis Interventionist must submit proof of education in the form of a high school diploma or GED certificate. This proposed rule change will amend OAR 824-030-0040 to allow those who do not hold a HS diploma or GED but have received a degree from a post-secondary institution to apply for RBAI status. See text from a recent letter sent out from Anne Thompson, policy analyst at Oregon’s Health Licensing Office.


Date: June 1, 2017

To: All interested parties

From: Anne Thompson, policy analyst

Subject: Behavior Analysis Regulatory Board registration change

Gov. Kate Brown has signed House Bill 2931, which adds a qualification option for registering behavior analysis interventionists. It amends administrative rule 824-030-0040.

 

Now, applicants for registration can: Submit documentation of a high school diploma or General Educational Development (GED) certificate or a degree from a post-secondary institution. All other administrative rules regarding qualifications remain in effect. The documentation option has been added to application forms available on the Health Licensing Office’s website. The rulemaking process has begun to align the rules with the statutory change. The proposed rule can be seen at: http://www.oregon.gov/OHA/HLO and will appear in the July 1, 2017, Oregon Bulletin. If anyone wishes to comment on the change, comments will be taken from 9 a.m. July 1 to 9 a.m. on July 28, 2017. The proposed administrative rule is scheduled to become permanent on Aug. 1, 2017.

Submit all comments to Anne Thompson at anne.p.thompson@state.or.us or 1430 Tandem Ave. Suite 180, Salem, OR 97301-2192. Comments received after 9 a.m. on July 28 will not be considered. For more information, call (503) 373-1904 or email anne.p.thompson@state.or.us

Support the continuation of the Affordable Care Act – heavily involved in affordable access to ABA in Oregon

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:

  • ORS 743A.168 – Oregon’s Mental Health Parity law from 2005
  • ORS 743A.190 – Oregon’s first autism mandate from 2007
  • SB365 (2013) and SB696 (2015) – Oregon’s revised autism mandates which specifically describe minimum requirements for coverage of Applied Behavior Analysis (ABA)
  • Federal Mental Health Parity and Addiction Equity Act (MHPAEA)
  • The Affordable Care Act

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:

  • Individual plans would no longer be required to comply with state or federal Mental Health Parity, and could start imposing age and visit limits on coverage.
  • Consumers could lose the ability to purchase individual insurance plans from the Health Exchange. In many cases, large plans from large out of state employers continue to deny coverage of ABA or other autism treatments – consumers have worked around this by buying low-cost individual plans for their children, which have the comprehensive autism coverage that Oregon requires.
  • Insurance companies could start denying coverage for individuals with pre-existing conditions. Everyone with an autism diagnosis has a “pre-existing condition” – which could make it difficult or impossible to buy health insurance at all.
  • The Mental Health Parity requirements for Medicaid would be repealed, enabling OHP to resume or continue some of the types of denials that we have been fighting against, such as age and visit limits on treatment for autism and other mental health conditions.
  • Medicaid expansion funding would be lost, reducing the number of people who could be covered on OHP and funding for the K-Plan.
  • Subsidies for commercial insurance through the exchange would be lost, so consumers who purchase insurance would be required to pay the full price regardless of income.
  • As noted above, under some proposals, Medicaid could be converted to a block grant program which would reduce existing funding levels and eliminate any requirements for coverage, including the EPSDT and Mental Health Parity requirements. See Disability Rights Oregon’s blog entry on this.”

If you have ideas for action, please contact ORABA!

Upcoming events around the country

It’s been a very long time since ORABA held a state ABA conference. We held out first one back in 2010 (featuring Dr. Vince Carbone!) but have been very busy with legislative issues, licensure, creating local ABA education opportunities, and building capacity in Oregon over the past few years. We hope to host another conference soon and will keep you all updated. In the meantime, here are the ABA conferences/conventions coming up over the next 6 months. ORABA will have representatives at CALABA and ABAI. Hope to see you there!

California Association for Behavior Analysis (CALABA) 2017 Annual Western Regional Conference on Behavior Analysis: February 10-12, 2017, Anaheim CA

Women in Behavior Analysis (WIBA) First annual conference: March 9-10, Nashville TN

Association of Professional Behavior Analysts (APBA) 2017 Annual Convention: March 23-25 2017, New Orleans LA

Applied Behavior Analysis International (ABAI) 2017 43rd Annual Convention: May 25-29, 2017, Denver, CO

 

New BARB rules starting 1/1/17, affecting licensure and registration of behavior analysts and interventionists

Oregon’s Behavior Analysis Regulatory Board approved new permanent rules at its meeting on Nov. 18, 2016.

Read the new permanent rules which go into effect on Jan. 1, 2017, affecting licensure of behavior and assistant behavior analysts, registration of behavior analysis interventionists, and permanent grandfathering rules for declarants. If you are already practicing, there are some big changes regarding supervision of RBAIs.

BARB 2017 Rules

ORABA mourns the loss of Senator Alan Bates

batesSenator Bates passed away on Friday, August 5th, 2016 at age 71. ORABA was fortunate to work closely with Senator Bates for a number of years on legislative efforts aimed at helping families affected by autism. Senator Bates worked tirelessly to bring together advocacy groups, providers, and payors, and to reach compromise among those who often had vastly different perspectives and priorities. Thanks to his leadership, Oregon became the 34th state to require health plan coverage of ABA treatment for children with autism. Oregon has lost a dedicated public servant and an amazing leader. Our thoughts are with Senator Bates’ family, he will be missed.

Article on OregonLive

The Register Guard