MEDICAID-AUTISM TREATMENT RATE
The proposed changes in HB2428 are designed to enhance the quality and accessibility of treatment for children with ASD, directly impacting the financial viability of service providers. By increasing reimbursement rates, the bill aims to incentivize more professionals to offer ABA services, which could lead to greater availability of treatment options across the state. Furthermore, the adjustment in reimbursement rates is intended to align better with the cost of delivering care, ensuring that providers can afford to offer high-quality services without financial strain.
House Bill 2428, introduced by Rep. Nabeela Syed, seeks to amend the Medical Assistance Article of the Illinois Public Aid Code by increasing reimbursement rates for applied behavior analysis (ABA) services for the treatment of autism spectrum disorder (ASD). The bill is set to take effect on January 1, 2026, mandating a 3.5% increase in these rates over the existing levels as of December 31, 2025. This increase is aimed at improving access to behavioral health services for children diagnosed with autism, addressing a critical area of need for many families in Illinois.
While the bill is largely supported by autism advocacy groups and healthcare professionals who see the benefits of improved funding for ABA services, there may be concerns raised by some stakeholders regarding the sustainability of increased expenditures within the state’s Medicaid budget. Opponents might argue about potential budgetary constraints and the need for adequate funding without compromising other areas of public health services. However, supporters believe the long-term benefits of providing adequate care for children with autism outweigh the initial financial concerns.