Autism Speaks| WA State Orders ABA Covered, Past Denials Reconsidered (PDF Avail.) | Oct. 20, 2014 #AutisticHistory #BanABA #EndAutismSpeaks

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


WA State Orders ABA Covered, Past Denials Reconsidered

October 20, 2014

October 20, 2014 — Washington state Insurance Commissioner Mike Kreidler has ordered the state’s private insurers to stop enforcing blanket exclusions for medically necessary mental health coverage, such as applied behavior analysis (ABA) for autism, and to reconsider all claims dating back to 2006 that were denied on the basis of a blanket exclusion.

Kriedler’s order was issued in the wake of the Washington Supreme Court’s unanimous ruling that such blanket exclusions violate both state and federal mental health parity law. While Krielder’s order does not specifically reference autism or ABA, it was the result of the Supreme Court’s decision in O.S.T. v Regence, a class action suit dealing with denials of ABA as well as speech, physical and occupational therapy on the basis of blanket exclusions for anyone diagnosed with autism.

“The court ruled decisively on behalf of Washington consumers, and I intend to see that insurers doing business in our state follow through on this decision,” Kreidler said.  “I expect the insurers to do a thorough review of all policyholders who may have current and past claims that may be impacted by this decision and to start the process immediately.”

Kreidler’s office was assailed last week in a Seattle Times editorial for having left enforcement of the mental health parity law to the courts, rather than taking action on its own.

“He has been slow to stand up for the tens of thousands of families struggling to get necessary care for loved ones with mental illness,” the Times wrote. “Astoundingly, his office has not taken a single enforcement action on the law, and a proposed rule to strengthen enforcement has languished in his office for two years.”

In his letter to insurers issued today, Kreidler directed that claims for medically necessary services could no longer be denied on the basis of blanket or categorical exclusions. If current insurance contracts do contain exclusions, then policyholders must be notified of the “correct coverage standard.” Health plans to be issued in 2015 will be reviewed for compliance.

In addition, insurers were given until March 1, 2015 to identify all mental health claims dating back to 2006 that were denied on the basis of a blanket exclusion and to implement a process for allowing improperly denied claims to be re-evaluated.

The provision reflects a proposed settlement between Regence Blue Shield in the state and federal class action lawsuits in which the insurer would establish a $6 million fund to reimburse out-of-pocket expenses incurred by policyholders for improperly denied claims.

“With this settlement and the recent (state) Supreme Court decision, the standard for coverage in Washington state is clearly established,” said Eleanor Hamburger, of Sirianni Youtz Spoonemore Hamburger, who represented the plaintiffs. 

Hamburger has reached settlements with the state’s three largest private insurers and the state employees health plan, and is representing employees suing Boeing for its denial of autism benefits. The federal class action suit against Regence alleged violations of federal mental health parity law. All of the actions are based on denials of ABA coverage for children with autism.

Mental health parity laws do not require mental health coverage; rather, they require health plans that do cover mental health benefits to cover those benefits at parity with physical health benefits.  



The Autism Community Is Not The Autistic Community

* The “autism community” is not the Autistic Community. The autism community was created by non-Autistic led organizations and includes mostly parents, professionals and their friends. Most of what the world knows about autism is sourced from the non-Autistic “autism community.”


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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