[Note: Shared for #AutisticHistory archive purposes. This is NOT An Autistic Ally.]
’60 Minutes’ Spotlights Insurance Denials For Mental Health
December 16, 2014
California Insurance Commissioner Dave Jones has commended CBS “60 Minutes” for highlighting the difficulties individuals experience in securing longterm mental health coverage and highlighted his agency’s efforts to improve benfits, particularly for the treatment of autism.
The CBS segment, entitled “Denied,” [view below] aired December 14 and focused on claims processed by Anthem. CBS found that 90 to 100 percent of claims reviews were denied by Anthem’s contracted physicians.
“60 Minutes highlights Anthem Blue Cross’ history of denying coverage for vital mental health treatment despite mental health parity laws, but they are not the only insurer that has denied coverage for lifesaving care to those who suffer from mental illness,” said Jones. “If a patient is denied medically necessary care, such as residential care for an eating disorder or behavioral health treatment for autism, the Department of Insurance is here to help the policyholder get the coverage they are entitled to under the law. This 60 Minutes feature puts a national spotlight on the all too common practice of denying people with severe mental illness the medical care to which they are entitled.”
In April, Jones’ agency issued strict guidelines on the behavioral health treatment for autism, such as applied behavioral analysis (ABA), that insurers must cover. Prior to the new regulations, it was not uncommon for health insurers to delay or deny medically necessary treatment for individuals with autism.
“The mental health parity regulations will help end improper insurer delays and denials of medically necessary treatments for people with autism,” said Jones. “This regulation provides clear guidance to the industry, stakeholders and consumers on the requirements of the Mental Health Parity Act.”
Autism Speaks honored Jones as its 2014 Executive Champion for his strong advocacy on behalf of families with autism during the 9th Annual Autism Law Summit.
As a result of a string of class action lawsuits brought in Washington state, coverage for autism has now been required by regulation by all state-regulated health plans. The litigation was all based on alleged violations of state and federal mental health parity law.
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.