Illinois Senate Bill SB3315

Illinois 2023-2024 Regular Session

• Introduced: 2/7/24
• Refer: 2/7/24
• Refer: 2/20/24
• Refer: 5/3/24

Caption

DHFS-REGISTERED BEHAVIOR TECHS

Impact

The implications of SB3315 are significant in terms of expanding access to ABA services for individuals with autism through the state’s medical assistance program. By prioritizing medical necessity, the bill allows for inclusive coverage that aligns treatment more closely with individual needs, potentially helping a broader age range of individuals than previously covered under the old regulations. The amendment is expected to streamline the qualification for services under the medical assistance program and incentivize providers to deliver effective treatments.

Summary

SB3315, introduced by Senator Bill Cunningham, amends the Medical Assistance Article of the Illinois Public Aid Code specifically regarding the treatment of autism spectrum disorder. This bill establishes that coverage for comprehensive and focused applied behavior analysis (ABA) services must be based on medical necessity rather than being limited by age ranges as determined by evidence-based best practices. This shift aims to ensure that individuals diagnosed with autism can receive appropriate treatment without restrictive age-based limitations.

Contention

A notable point of contention within the bill is the provision that registered behavior technicians will not need to enroll separately in the medical assistance program. Instead, they will be considered enrolled under the supervision of qualified staff. While this streamlining could reduce administrative barriers for practitioners, it also raises concerns regarding the oversight of service quality and accountability within the field. Critics may argue that this approach could potentially compromise the standards of care for persons receiving ABA services.