[Note: Shared for #AutisticHistory archive purposes. This is NOT An Autistic Ally.]
Oregon Suit Against Providence for ABA Denials Gets Boost
January 03, 2014
PORTLAND (January 3, 2014) — A complaint filed in federal court here against Providence Health Plan for denying claims for Applied Behavior Analysis (ABA) therapy for autism will move forward as a class action affecting all Providence policyholders in Oregon.
U.S. District Court Judge Michael Simon granted the motion of two families who filed the complaint last May to certify the suit (A.F. and A.P. v Providence Health Plan) as a class action. The complaint challenges Providence’s denial of claims for ABA coverage based on its policy of excluding any benefits “related to developmental disabilities, developmental delays or learning disabilities.”
Providence included the blanket exclusion in all of its group plan insurance contracts issued after 2007. Insurers have typically denied ABA claims based either on the blanket exclusion or by contending the therapy is “educational” or “experimental.” The complaint is directly solely at the blanket exclusion policy.
Brought by the parents of two children, “A.F.” and “A.P.,” the complaint alleges the denials violate the federal 2008 Wellstone Domenici Mental Health Parity and Addiction Equity Act, Oregon’s Mental Health Parity Act, and a state statute requiring that children with pervasive developmental disorders, such as autism, receive “all medical services, including rehabilitation services, that are medically necessary and are otherwise covered under the plan.”
The mother of A.P., Lucia Alonso, lost her home to foreclsoure when she could no longer afford both her mortgage and paying her child’s ABA bills out-of-pocket due to the lack of insurance coverage.
After the complaint was filed last year, the Legislature passed and Gov. John Kitzhaber signed a bill requiring all state-regulated health insurers to cover the diagnosis and treatment of autism. The provisions will start to apply in 2015 for state employees and in 2016 for families holding individual, small group or large group health plans regulated by the state. Self-insured “ERISA” plans are exempt because they are regulated under federal law which does not require autism benefits.
The Autism Community Is Not The Autistic Community
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 work. In 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.