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News Story
4/25/2014
Posted by Mark Reback
Costly 'applied behavioral analysis' must be provided by insurers, panel says In a case that's drawn the attention of medical professionals in California, a state appellate panel this week expanded insurance coverage for a major autism treatment. In partly affirming and partly reversing a trial judge, justices with Division 3 of the...
News Story
4/25/2014
Posted by Mark Reback
(Reuters) - A California appeals court has ruled that state regulators and health insurers cannot deny coverage for an intensive autism treatment on the grounds that the therapy was not provided by a licensed physician or psychologist.   A three-judge panel on Wednesday found that, due to a recent change in California law, the treatment,...
News Release
4/24/2014
Posted by Jerry Flanagan
Santa Monica, CA - Parents of autistic children scored a major victory in a California Court of Appeal decision issued late yesterday, which now bars state regulators and health insurers from discriminating against children on the basis of whether treatment providers hold state licenses.  The state regulator’s discriminatory policy led...
News Story
4/23/2014
Posted by Mark Reback
Law360, Los Angeles (April 23, 2014, 9:42 PM ET) -- A California appeals court on Wednesday again held that the Department of Managed Health Care is required by law to direct health plans to provide coverage for autism treatment performed by certified therapists, even if they don’t have medical or psychology licenses. The appellate ruling...
Legal Update
10/11/2013
Posted by Jerry Flanagan
This week the California Court of Appeal granted Consumer Watchdog's petition for rehearing in its seminal lawsuit against the Department of Managed Health Care over treatment for autistic children. Consumer Watchdog scored a major victory in the recent decision, which bars state regulators and HMOs from discriminating against children in the...
Legal Update
9/27/2013
Posted by Jerry Flanagan
This week Consumer Watchdog filed a brief urging the California Court of Appeal to reconsider part of a recent ruling ending autism discrimination that could be read to put behavior analysts at risk of being prosecuted for the "unlicensed practice of psychology" for care provided prior to the passage of a recent state autism law....
News Story
9/17/2013
Posted by Mark Reback
The Second District Court of Appeal in Los Angeles last week ruled that the Department of Managed Health Care cannot use licensure as a basis for denial of a type of autism treatment to state employees. The ruling means better access for patients to applied behavior analysis (ABA) therapy, according to Jamie Court, president of Consumer Watchdog...
Video
9/13/2013
Posted by admin
The California Court of Appeals has ruled that all insurance plans will now have to cover perhaps the most effective treatment for autism, whether the therapist is licensed or certified. Under the ruling, insurance coverage will be extended for state employees and low-income families. Lucy Noland reports for NBC4 News.
Video
9/13/2013
Posted by admin
A therapy for children with autism must be covered by public insurance companies, a California appeals court has ruled.   Applied Behavior Analysis — or ABA — "is a system in which every moment and action by the child is monitored and rewarded by the therapist on a one-to-one relationship for periods of 35, 40 hours a week,...
News Release
9/11/2013
Posted by Jerry Flanagan
Santa Monica, CA -- In a complex opinion issued yesterday, the California Court of Appeal ended the Department of Managed Health Care’s (DMHC) discriminatory practice of allowing HMOs to deny treatment for autistic children of state employees and low-income families enrolled in the Healthy Families program on the basis that such treatment...