Autism Speaks Analysis of Florida Senate Bill Number 2654 (PDF Avail.) | May 2, 2008 #AutisticHistory #BanABA

#BanABA

[Note: Shared for #AutisticHistory archive purposes. This is NOT An Autistic Ally.]



Autism Speaks Analysis of Florida Senate Bill Number 2654 –

Passed on May 2, 2008
OVERVIEW

  1. Authorizes the Agency for Health Care Administration to seek federal approval for Medicaid coverage of applied behavior analysis and other therapies for children with autism and other developmental disabilities.
  2. Requires the Office of Insurance Regulation to convene a workgroup that will negotiate a developmental disabilities compact binding health insurers and health maintenance organizations to insure persons with autism and other developmental disabilities.
  3. Mandates coverage for individuals with autism by health insurers and health maintenance organizations that do not sign the compact.
    DETAILED ANALYSIS
    Medicaid Provision
  4. Authorizes the Agency for Health Care Administration to seek federal approval through a Medicaid waiver1 or a state plan amendment2 of coverage for certain services for children with autism and other developmental disabilities. Covered services are as follows:
    • Occupational therapy;
    1 A Medicaid waiver is a Medicaid program that provides special services to people with disabilities. Medicaid waivers serve individuals whose incomes would ordinarily make them ineligible for Medicaid. People served by Medicaid waivers have basic Medicaid program services plus waiver services.
    2 A state plan amendment is a change in the basic Medicaid program. 1

• Speech therapy;
• Physical therapy;
• Behavior analysis; and
• Behavior assistant services.

  1. Limits the new Medicaid coverage to $36,000 annually and $108,000 in total lifetime benefits.
  2. Eligible individuals are 5 years of age and under. Developmental Disabilities Compact
  3. Requires the Office of Insurance Regulation to convene a workgroup by August 31, 2008, that will negotiate a developmental disabilities compact binding participants to provide insurance and access to services for persons with autism and other disabilities.
  4. The workgroup will consist of representatives of all health insurers and health maintenance organizations, representatives of employers with self- insured health benefit plans3, two designees of the Governor, one designee of the President of the Senate, and one designee of the Speaker of the House.
  5. The Office of Insurance Regulation will also convene a consumer advisory workgroup to comment on the developmental disabilities compact prior to its finalization.
  6. The compact will include the following components:
    • A requirement that each signatory to the agreement increase coverage for behavior analysis and behavior assistant services, speech therapy, physical therapy, and occupational therapy;
    3 These plans are subject to federal rather than state law. 2

• Procedures for clear notice to policyholders identifying the amount, scope, and conditions under which the services described in the preceding bullet point are provided;
• Penalties for documented cases of denial of claims for medically necessary services for a developmental disability; and
• Proposals for new product lines that may be offered in conjunction with traditional health insurance and that provide a more appropriate means of spreading risk, financing costs, and accessing favorable prices.

  1. Beginning February 15, 2009, and continuing annually thereafter, the Office of Insurance Regulation will report on the implementation of the compact.
  2. The Office of Insurance Regulation will monitor participation in, compliance with, and the effectiveness of the compact and will report its findings at least annually.
    Autism Mandate
  3. Requires health insurance plans and health maintenance contracts issued or renewed on or after April 1, 2009, to cover the following:
    • Well-baby and well-child screening for diagnosing the presence of autism; and
    • Treatment of autism through speech therapy, occupational therapy, physical therapy, and applied behavior analysis provided by certified behavior analysts, psychologists, clinical social workers, and others.
  4. Covers the following autism spectrum disorders:
    • Autistic disorder;
    • Asperger’s syndrome; and
    3

• Pervasive developmental disorder not otherwise specified

  1. Benefits children under 18 years of age or in high school who have been diagnosed as having a developmental disability at 8 years of age or younger.
  2. Limits coverage as follows:
    • Coverage is limited to treatment that is prescribed by the insured’s treating physician in accordance with a treatment plan.
    • Coverage is limited to $36,000 annually and may not exceed $200,000 in total lifetime benefits. Beginning January 1, 2011, these maximum benefits will be adjusted for inflation.
    • Coverage may be subject to other general exclusions and limitations, including coordination of benefits, participating provider requirements, restrictions on services provided by family members, and utilization review, including the review of medical necessity, case management, and other managed care provisions. Coverage, however, may not be denied on the basis that services are habilitative in nature.
  3. Coverage may not be subject to dollar limits, deductibles, or coinsurance provisions that are less favorable to an insured than the dollar limits, deductibles, or coinsurance provisions that apply to physical illnesses, except as provided in #4 above.
  4. Prohibits insurers from denying or refusing to issue coverage for medically necessary services or for refusing to contract with, renew, or reissue coverage, or for terminating or restricting coverage for an individual because the individual is developmentally disabled.
  5. The autism mandate does not limit benefits and coverage otherwise available to an insured under a health insurance plan.
  6. The autism mandate applies to the state group insurance program and other group health policies, health benefit plans, and health maintenance
    4

contracts. It does not apply to individual market contracts or individually underwritten contracts, or to contracts provided to small employers (having 50 or fewer employees).

  1. The Office of Insurance Regulation may not enforce the autism mandate against an insurer or health maintenance organization that signs the developmental disabilities compact by April 1, 2009. The Office of Insurance Regulation must, however, enforce the mandate against an insurer that signs the developmental disabilities compact but does not by April 1, 2010, comply with the terms of the compact for all health insurance plans or health maintenance contracts.

More With Autism Votes



Note/Warning:

Autistic people have fought the inclusion of ABA in therapy for us since before Autism Speaks, and other non-Autistic-led autism organizations, started lobbying legislation to get it covered by insurances and Medicaid. 

ABA is a myth originally sold to parents that it would keep their Autistic child out of an institution. Today, parents are told that with early intervention therapy their child will either be less Autistic or no longer Autistic by elementary school, and can be mainstreamed in typical education classes. ABA is very expensive to pay out of pocket. Essentially, Autism Speaks has justified the big price tag up front will offset the overall burden on resources for an Autistic’s lifetime. The recommendation for this therapy is 40 hours a week for children and toddlers.

The original study that showed the success rate of ABA to be at 50% has never been replicated. In fact, the study of ABA by United States Department of Defense was denounced as a failure. Not just once, but multiple times. Simply stated: ABA doesn’t workIn study after repeated study: ABA (conversion therapy) doesn’t work. 

What more recent studies do show: Autistics who experienced ABA therapy are at high risk to develop PTSD and other lifelong trauma-related conditions. Historically, the autism organizations promoting ABA as a cure or solution have silenced Autistic advocates’ opposition. ABA is also known as gay conversion therapy.


The ‘cure’ for Autistics not born yet is the prevention of birth. 

The ‘cure’ is a choice to terminate a pregnancy based on ‘autism risk.’ The cure is abortion. This is the same ‘cure’ society has for Down Syndrome. 

This is eugenics 2021. Instead of killing Autistics and disabled children in gas chambers or ‘mercy killings’ like in Aktion T4, it’ll happen at the doctor’s office, quietly, one Autistic baby at a time. Different approaches yes, but still eugenics and the extinction of an entire minority group of people.


Fact: You can’t cure Autistics from being Autistic.

Fact: You can’t recover an Autistic from being Autistic.

Fact: You can groom an Autistic to mask and hide their traits. Somewhat. … however, this comes at the expense of the Autistic child, promotes Autistic Burnout (this should not be confused with typical burnout, Autistic Burnout can kill Autistics), and places the Autistic child at high risk for PTSD and other lifelong trauma-related conditions.


[Note: Autism is NOT a disease, but a neurodevelopmental difference and disability.]


Fact: Vaccines Do Not Cause Autism.


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