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Mandate Stops Short of Necessary Therapy

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  • Thu, 03/12/2009 - 08:59

Insurance industry regulators in California have thrown up roadblocks to thousands of families in the state. A ruling on Monday will force insurance companies to cover speech, occupational and physical therapies. However there will be no mandate to cover behavioral therapies like ABA and other social therapies to build social skills. This of course may put a greater burden on the state years down the road. Something that legislators in many states fail to realize.

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Comments

Thu, 03/26/2009 - 12:32 — Jimsomnia

"Insurance reform"

Has anyone else noticed that many states are passing "insurance reform" bills that still don't cover neccessary treatments? Not only behavioral therapies, but biomedical treatments? We live in Oregon where the State passed two bills that still contain a safety valve for insurance companies where they can claim a treatment is "not medically neccessary" whenever they wish. We are still being denied insurance claims for most of the treatments that we can see are really helping our son recover. Read the fine print in these bills; the insurance/pharm lobby is huge and powerful. Beware of false claims of reform!