Oregon Insurer Can't Deny Tutism Treatment

 

   PORTLAND, Ore. (AP) -- A federal judge in Portland has ruled that a major Oregon health provider cannot deny coverage to autistic children for a specific treatment.
   Judge Michael H. Simon found Providence Health Plan violated state and federal laws in its denial of Applied Behavior Analysis or ABA. ABA can cost up to $50,000 a year.
   Last year, the Oregon Legislature passed a bill requiring insurers to pay for ABA starting in 2016.
   Months before the ruling, Providence decided to cover up to 25 hours a week of the therapy. But families often seek coverage for more than 25 hours per week.
   Because it was a class action suit, the decision could affect hundreds of children and other Oregon insurers and plans who have denied ABA.
   Simon issued the ruling on August 8.

   PORTLAND, Ore. (AP) -- A federal judge in Portland has ruled that a major Oregon health provider cannot deny coverage to autistic children for a specific treatment.   Judge Michael H. Simon found Providence Health Plan violated state and federal laws in its denial of Applied Behavior Analysis or ABA. ABA can cost up to $50,000 a year.   Last year, the Oregon Legislature passed a bill requiring insurers to pay for ABA starting in 2016.   Months before the ruling, Providence decided to cover up to 25 hours a week of the therapy. But families often seek coverage for more than 25 hours per week.   Because it was a class action suit, the decision could affect hundreds of children and other Oregon insurers and plans who have denied ABA.   Simon issued the ruling on August 8.