Christy Evanko, BCBA, LBA March 12, 2015

Christy Evanko, BCBA, LBA March 12, 2015
ABA and the Virginia General Assembly: Legislative Updates for Behavior Analysts Christy Evanko, BCBA, LBA March 12, 2015

Agenda Brief Introduction on ABA and Autism (only if necessary)
The History of ABA in the Virginia Legislature Regulations Governing the Practice of Behavior Analysis Applying for your License

Audience Check How many here are behavior analysts?
How many are behavioral technicians or providers who work with children with special needs, but are not behavior analysts? How many are related to someone with autism? Others?

Applied Behavior Analysis (ABA) is a Science Based on the Principles of Behavior
Evidence-based techniques based on these principles are used to encourage meaningful and beneficial change in behavior – both increases in pro-social behaviors and skill acquisition and decreases in maladaptive behaviors Often focuses on reinforcement of pro-social behavior and acquisition of daily living and academic skills Data are collected and analyzed to determine what has the most effect on the behaviors ABA is not only used in classrooms and therapy sessions, but also in the home, workplace, and community ABA in Virginia must be provided or supervised by a licensed Behavior Analyst

The Seven Dimensions of ABA
Applied – importance to society Behavioral – focus on behavior: what a person does Analytic – believable demonstration of the events responsible for the behavior Technological – techniques used are completely identified and described so that others can understand and replicate Conceptual Systems – relevant to the principles of BA Effective – effects are large enough to have value Generality – changes are durable over time Source: Baer, Donald, Wolf, Montrose, and Risley, Todd. Some current dimensions of applied behavior analysis. Journal of Applied Behavior Analysis. Spring 1968.

ABA is Often Used Successfully to Treat People with Autism
“Between 1985 and 2010, there were over 500 articles published concerning Applied Behavior Analysis and autism.”1 In 1987 O. Ivar Lovaas published a landmark study showing the effects of intensive intervention on children with autism. “47% of the autistic children treated before the age of three and a half attained normal intellectual functioning and passed first grade in a normal school by the age of seven” 2 A 2000 report from the Surgeon General “Acknowledges the efficacy of applied behavioral methods in the treatment of children with autism and cites the ‘well-designed study carried out by Lovaas and colleagues’” 1 A 2001 book published by the National Research Council states that “forty years of single-subject-design research testifies to the efficacy of time-limited, focused applied behavior analysis methods in reducing or eliminating specific problem behaviors in teaching new skills to children and adults with autism or other developmental disorders.” 3 Sources: Behavioral Treatment and Normal Educational and Intellectual Functioning in Young Autistic Children, Journal of Consulting and Clinical Psychology, 1987, 3. Educating Children with Autism, National Research Council, 2001

Behavior Analysis Professionals
BCBA-D: Board Certified Behavior Analyst Doctoral Level LBA: Licensed Behavior Analyst BCBA: Board Certified Behavior Analyst (Master’s Level Implied) BCaBA: Board Certified Assistant Behavior Analyst (Bachelor’s Level Implied) LABA: Licensed Assistant Behavior Analyst RBT: Registered Behavioral Technician No Current License

Identification Note that you should not alter the identifying letters in any way (i.e. BCBA/L) The BCBA® credential is trademarked The preferred listing is: Augustine Castle, BCBA-D, LBA Steve Jamnik, BCBA, LBA Barbara Macklin, BCaBA, LABA Rachel Meyerson, RBT

Behavior Analysts are Certified by a National Certification Organization
The Behavior Analysis Certification Board (BACB) was established in 1998 to meet professional credentialing needs ( Requirements for certification include Bachelors, Masters, or Doctoral Degree in a related area BCaBA’s need to meet supervision requirements Education in Behavior Analysis by an accredited school Supervised Experience (between 1000 and hours depending on certification) Passage of a board examination Strict adherence to ethical guidelines Continuing education required for renewal every two years Certification programs are reviewed and standards are raised on an ongoing basis Provides Exam Content Task List Holds certificants to Professional Disciplinary and Ethical Standards Presents Guidelines for Responsible Conduct for Behavior Analysts Source: Behavior Analyst Certification Board

Behavior Analysts Have Varied Responsibilities
Conducts assessments of behavior and interprets results Designs and supervises behavior analytic interventions to target reduction of maladaptive behaviors and skill acquisition Trains others to carry out ethical and effective behavior analytic interventions based on published research Seeks consultation of more experienced practitioners when necessary LBA’s often do not work one-on-one with the client except in assessment, training, and supervision situations Source: Behavior Analyst Certification Board

in the Commonwealth of Virginia as of January 30, 2015
Licensed Behavior Analysts (LBA) and Licensed Assistant Behavior Analysts (LABA) in the Commonwealth of Virginia as of January 30, 2015 Includes 533 LBAs and LABAs. Does not include those who list out of state residences or those who have not yet received their licenses. As of 1/30/15, there are 544 LBAs and 96 LABAs; there are 496 BCBAs (including Masters and Doctoral), and 89 BCaBAs in the Commonwealth of Virginia.

Growth in the Diagnosis of Autism
Source: CDC

Growth in Behavior Analysis Profession in Virginia
Based on data from pulled beginning in December 2014 and therefore may not be fully accurate.

The History of ABA in the Virginia Legislature

Short History of the Laws Regarding Applied Behavior Analysis
2011 Autism Insurance Law HB2467/SB1062 Sponsored by Del. Tag Greason, Sen. Janet Howell Now law in the Code of Virginia: § ; 2012 Licensure Law HB1106 Sponsored by Del. Tag Greason Now law in the Code of Virginia: § ; ; 2014 Advisory Board/ Exemption Bill HB926 Now law in the Code of Virginia § , 2015 Autism Insurance Law Age Cap Increase HB1940 Passed legislature and waiting for Governor’s signature

The Autism Insurance Law: §38.2-3418.17 in the Code of Virginia
Bill signed into law in 2011 after more than 10 years of effort Virginia became the 26th state to enact Autism Legislation Requires insurance companies to cover care for children with ASD prescribed or ordered by a licensed physician or licensed psychologist who says it’s medically necessary Includes behavioral health treatment, pharmacy care, psychiatric care, psychological care, Therapeutic Care (such as speech, OT, PT), and Applied Behavior Analysis by a Licensed Behavior Analyst or Licensed Assistant Behavior Analyst Source: Virginia General Assembly Legislative Information System: leg1.state.va.us Chapter 3: An Act to amend and reenact § of the Code of Virginia and to amend the Code of Virginia by adding in Article 4 of Chapter 29 of Title 54.1 sections numbered and , relating to licensure of behavior analysts and assistant behavior analysts.

More Details on the 2011 Insurance Law
Persons cannot be denied insurance solely because they are diagnosed with or receive treatment for ASD Annual dollar cap - $35,000 Age cap – 2 to 6 years (one of the most restrictive in the US) State employees are included Companies with 50 or fewer employees are exempt Self-funded plans are exempt, but many of them do cover autism, often up to any age (e.g. Capital One, Bon Secours, etc.) Source: Virginia General Assembly Legislative Information System: leg1.state.va.us Chapter 876: An Act to amend and reenact § of the Code of Virginia and to amend the Code of Virginia by adding a section numbered , relating to health insurance coverage for autism spectrum disorder.

2015 Updates to the 2011 Insurance Law
In 2015 a new bill was introduced whose purpose was to delete the age cap. In order to pass the bill it was necessary to compromise and have the new law cover ages 2 to 10 (new coverage of children 7 to 10) An additional amendment was made to match some changes to the federal law that increased the size of what is considered a small company from 50 employees to 100 employees. The 2008 Wellstone-Domenici Act (which only applies to large group fully-funded and self-funded policies) prohibits treatment limitations and financial requirements on “mental health benefits” if not on physical health benefits (such as the $35K cap in the 2011 law). 1 Nine states including Virginia explicitly list autism as a covered diagnosis in their mental health parity laws. 1 Six states explicitly and 5 states implicitly include autism within their state definition of mental illness, but Virginia is not one of these state. 1 1 Source: Autism Speaks

The BA Licensure Law: §54.1-2900 -2957.16/17 in the Code of Virginia
Governor sent amendments to the insurance bill in March 2011, one of which included that necessity that Behavior Analysts be licensed by the Board of Medicine. This provision did not come from the behavior analysis community. It shall be unlawful for any person to practice or to hold himself out as practicing as a(n) (assistant) behavior analyst or to use the title "Licensed (Assistant) Behavior Analyst" unless he holds a license as a(n) (assistant) behavior analyst issued by the Board. Emergency regulations took effect on 9/18/12 and were in effect until 3/20/13, at which time the full regulations took over (with no changes). Source: Virginia General Assembly Legislative Information System: leg1.state.va.us Chapter 3: An Act to amend and reenact § of the Code of Virginia and to amend the Code of Virginia by adding in Article 4 of Chapter 29 of Title 54.1 sections numbered and , relating to licensure of behavior analysts and assistant behavior analysts.

The BA Advisory Board Bill: §54.1-2957.17, 18 in the Code of Virginia
The Board of Medicine asked Behavior Analysts to go back to the legislature in 2014 to request an Advisory Board and a Student Exemption; the Student exemption was rewritten to include both intensive practicum and supervised fieldwork (post coursework) The Department of Education asked to add an exemption so that their employees could continue to perform their duties under IDEA The bill passed and the first Advisory Board meeting was held October 7, The board meets quarterly and advises the BOM on disciplinary issues and other topics pertaining to behavior analysis. Anyone can make public comment and the meetings are open to the public. Source: Virginia General Assembly Legislative Information System: leg1.state.va.us Chapter 3: An Act to amend and reenact § of the Code of Virginia and to amend the Code of Virginia by adding in Article 4 of Chapter 29 of Title 54.1 sections numbered and , relating to licensure of behavior analysts and assistant behavior analysts.

Changing The Law From time to time it is necessary to add new laws and change existing ones. If you want to be involved with those efforts, feel free to join the following advocacy organizations: Virginia Association for Behavior Analysts: Virginia Autism Project: Autism Speaks: irginia Photo credit: Virginia General Assembly

Regulations Governing the Practice of Behavior Analysis

Licensure Under the Board of Medicine
It is the responsibility of every LBA and LABA to become familiar with these regulations housed on the Board of Medicine Web site: It is the licensed person’s responsibility to update the BOM when his/her name or address changes within 30 days Initial fees are: BCBA - $130 BCaBA - $70 The main requirement for licensure is BACB certification, but BACB certification is not needed for renewal. Renewal fees are: BCBA - $135 BCaBA - $70 Renewals occur in the birth month of odd-numbered years Source: BOM Regulations Note: In this slide and in all of the following, some of the information is pulled word-for-word from the sources, and some is paraphrased.

Practicing It is very important to note that BCBAs or BCaBAs without a current license MUST NOT PRACTICE, regardless of their ability or status in another state From the BACB Professional and Ethical Compliance Code for Behavior Analysts (Jan 2016 version): 1.04 Integrity. (d) Behavior analysts’ behavior conforms to the legal and ethical codes of the social and professional community of which they are members. It is every behavior analyst’s responsibility to know the laws that govern us Source: BOM Regulations

Scope of Practice 18VAC85-150-110. Scope of practice.
The practice of a behavior analyst includes: 1. Design, implementation, and evaluation of environmental modifications using the principles and methods of behavior analysis to produce socially significant improvement in human behavior, including the use of direct observation, measurement, and functional analysis of the relationship between environment and behavior; and 2. Supervision of licensed assistant behavior analysts and unlicensed personnel. Source: BOM Regulations

Continuing Education Continuing education requirements do not track with BACB requirements that changed in January of 2015, however the Advisory Board is looking into realignment. Note that the source of the CEUs are the same for the BACB and the BOM (a BACB approved provider). BACB VA License BCBA/LBA 32/2 years Plus 4 ethics credits (and supervision requirements) 24/2 years No other requirements BCaBA/LBA Plus 4 ethics credits 16/2 years Source: BOM Regulations, BACB

Supervisory Responsibilities
Supervision in the BOM regulations refers only to supervision of LABAs by LBAs and does not related to supervision of students “The Licensed Behavior Analyst is ultimately responsible and accountable for client care and outcomes under his clinical supervision Delegation shall only be made if, in the judgment of the licensed behavior analyst, the task or procedures can be properly and safely performed by an appropriately trained assistant behavior analyst or other person, and the delegation does not jeopardize the health or safety of the client.” Source: BOM Regulations

LABA Supervision Comparison with BACB
BACB Current BACB 2017 VA License Responsibility Not addressed BCBA supervisor will be responsible for the work of the BCaBA(s) he/she is supervising LBA ultimately responsible (see previous slide) Public Identification BCBA supervisor will be publicly identified on the Certificant Registry Reported to the BOM, but not listed publically Qualifications Same requirements as in the Experience Standards policy (e.g., the supervisor may not be related to or subordinate to the BCaBA); Supervisor must complete a supervision class and module and maintain supervision CEUs Caseload Volume of supervisory activity must be commensurate with ability to be effective Source: BACB Newsletter – 12/2014, BOM Regulations

Source: BACB Newsletter – 12/2014, BOM Regulations LABA Supervision Comparison with BACB BACB Current BACB 2017 VA License Amount 1 hour per month (regardless of practice hours) 2% of hours of ABA services provided per month; supervisors may require more when appropriate (adjusted based on hours of practice) The frequency and nature of supervision interactions are determined by the individualized assessment or treatment plans of the clients served by the licensed behavior analyst and the assistant behavior analyst, but shall occur not less than once every four weeks with each supervision session lasting no less than one hour. Frequency Every month At least once per month, but the supervisor must be available for consultation during service-delivery periods New BCaBAs Not addressed 5% of hours of ABA services provided per month for the first 1,000 hours of practice, with no less than one hour of supervision every two weeks (current BCaBAs exempt)

BACB Current BACB 2017 VA License Interaction Type Real-time, face-to-face interactions only Real-time, face-to-face interactions not required; no supervision via text or ; incorporates Experience Standards provisions on nature of supervision “Real-time" shall mean live and person-to-person. Source: BACB Newsletter – 12/2014, BOM Regulations

Source: BACB Newsletter – 12/2014, BOM Regulations LABA Supervision Comparison with BACB BACB Current BACB 2017 VA License Observation Semiannually, in person Quarterly via any appropriate means (no in-person requirement) Direct, real-time observation of the supervisee implementing behavior analytic assessment and intervention procedures with clients in natural environments and/or training others to implement them, with feedback from the supervisor. One-to-one, real-time interactions between supervisor and supervisee to review and discuss assessment and treatment plans and procedures, client assessment and progress data and reports, published research, ethical and professional standards and guidelines, professional development needs and opportunities, and relevant laws, regulations, and policies. Informal interactions between supervisors and supervisees via telephone, electronic mail, and other written communication are encouraged but may not be considered formal supervision.

BACB Current BACB 2017 VA License Group Supervision Type No stipulation on group size or activities Small interactive groups of 2-10 supervisees. If non-supervisees are present, their participation should be limited Includes real-time interactions between a supervisor and a group of supervisees to review and discuss assessment and treatment plans and procedures, client assessment and progress data and reports, published research, ethical and professional standards and guidelines, professional development needs and opportunities, and relevant laws, regulations, and policies. Group Supervision Amount Allowed Max. 50% of supervision Source: BACB Newsletter – 12/2014, BOM Regulations

BACB Current BACB 2017 VA License Reporting Once per year Ongoing documentation of supervision meetings using meeting form that must be provided if requested by the BACB A copy of the written supervisory agreement shall be maintained by the licensed behavior analyst and the licensed assistant behavior analyst and made available to the board upon request. Source: BACB Newsletter – 12/2014, BOM Regulations

BCaBA/LABA Contract Comparison
BACB (Beginning in 2017) Virginia License A contract must be in place that specifies: Nature and frequency of supervision (including grounds for increased supervision at the discretion of the supervisor) Mechanism for reporting caseload to supervisor Methods of supervisory observation Mandatory third-party consent for supervisor involvement Written feedback retained by both parties Supervisory responsibility over services and client consent for supervisor’s involvement Provision terms for supervision (fee for service) Termination and verification criteria Note that the current BACB guidelines do not address the contract. There shall be a written supervisory agreement between the licensed behavior analyst and the licensed assistant behavior analyst that shall address: The domains of competency within which services may be provided by the licensed assistant behavior analyst; and The nature and frequency of the supervision of the practice of the licensed assistant behavior analyst by the licensed behavior analyst. Source: BACB Newsletter – 12/2014, BOM Regulations

Unlicensed Personnel 18VAC Supervision of unlicensed personnel. A. Unlicensed personnel may be supervised by a licensed behavior analyst or a licensed assistant behavior analyst. B. Unlicensed personnel may be utilized to perform: 1. Nonclient-related tasks including, but not limited to, clerical and maintenance activities and the preparation of the work area and equipment; and 2. Certain routine client-related tasks that, in the opinion of and under the supervision of a licensed behavior analyst or a licensed assistant behavior analyst, have no potential to adversely impact the client or the client's treatment plan and do not constitute the practice of behavior analysis. Source: BOM Regulations

Confidentiality BACB Virginia License
Confidentiality is addressed in Ethics Code Disclosures are discussed in BA’s have an obligation to take reasonable precautions to protect the confidentiality of clients. BA’s discuss confidentiality at the beginning of the relationship and during new circumstances. BA’s minimize the amount of private information they communicate Research is governed separately Sharing identifying info on social media is prohibited A practitioner shall not willfully or negligently breach the confidentiality between a practitioner and a client. A breach of confidentiality that is required or permitted by applicable law or beyond the control of the practitioner shall not be considered negligent or willful. Source: BACB 2016 Professional and Ethical Compliance Code for Behavior Analysts, BOM Regulations for Behavior Analysts

Client Records BACB Virginia License
Maintaining Records is addressed in Ethics Codes 2.07 and 2.11 Behavior analysts maintain appropriate confidentiality in handling records, but this is not specified. This code indicates that behavior analysts follow the law as well as corporate policies with regard to records Behavior analysts must retain records and data for at least 7 years and as otherwise required by law. There is a separate code relating to health records privacy: § :03. Practitioners need to provide records to other practitioners in a timely manner (following the above code). Practitioners shall properly manage and keep timely, accurate, legible, and complete client records. If a practitioner does not own the records (e.g. an agency does), then they need to comply with the owner’s procedures. But those who are self-employed shall: Maintain records for a minimum of 6 years unless a minor or transferred to another practitioner. Minor’s records should be maintained until the child is 18, is emancipated, or at least 6 years. There may be other laws that extend the record-keeping time. Practitioners also need to post or otherwise inform clients of the record-keeping time frame. When records are destroyed, they need to be completely destroyed so the information can’t be stolen. There is another code that governs the closing or selling of a practice: § Source: BACB 2016 Professional and Ethical Compliance Code for Behavior Analysts, BOM Regulations for Behavior Analysts

Client Communication BACB Virginia License
Source: BACB 2016 Professional and Ethical Compliance Code for Behavior Analysts, BOM Regulations for Behavior Analysts Client Communication BACB Virginia License Many of the Ethics Codes touch on this, however, these are the closest related: 3.03 – written approval must be acquired before the assessment 3.05 – consent must be gained prior to reviewing records. 4.04 – written approval is required prior to making significant modifications to plans 8.02 – behavior analysts avoid false and deceptive statements about treatment Practitioners shall accurately present information in understandable terms and encourage participation in decisions regarding client care. There is another code that governs this: § :03 F Practitioners should not make false or misleading statements about their skills or the efficacy of treatment. Initial assessments require informed consent from client or guardian. They need to be informed about the risks, benefits, and alternatives of the recommended procedure that a reasonably prudent practitioner would tell a client. Intervention changes (that are not routine and are more restrictive) require informed consent. There is an exception to the consent requirement in an emergency situation or when delay would cause harm. There is a code that covers informed consent for human research (not including retrospective record reviews): §

Client Termination BACB Virginia License
Interrupting or Discontinuing Services is addressed in Ethics Code 2.15 Behavior analysts act in the client’s best interest to avoid interruption of services and make reasonable and timely efforts to find other services. Contracts should stipulate what happens when the relationship ends with focus on the welfare of the client. Relationships are discontinued when the client doesn’t need the service any more, isn’t benefiting from the service, is being harmed by the service, or requests the end of the service. Behavior analysts do not abandon clients. All attempts are made to facilitate transition. Either practitioner or client may terminate the relationship. Client records need to be made available to the client except where prohibited by law. The practitioner must give document notice that allows for a reasonable time to find another provider. Source: BACB 2016 Professional and Ethical Compliance Code for Behavior Analysts, BOM Regulations for Behavior Analysts

Practitioner Responsibility
BACB Virginia License Many of the Ethics Codes touch on this, however, these are the closest related: 1.02 – behavior analysts stay within the boundaries of their competence 5.03 – behavior analysts delegate only responsibilities that they think the subordinate can perform safely and provide training for skills the subordinate does not have 1.07 – behaviors analysts do not exploit the people with whom and for whom they work Practitioners are prohibited from working outside the scope of his/her practice allowing a subordinate to jeopardize client safety or provide client care outside of his/her scope of practice delegating client care to someone who isn’t properly trained and supervised engaging in behavior that interferes with treatment or adversely impacts client care exploiting the relationship for personal gain Advocating for client safety or improvement in client care within a health care entity shall not constitute disruptive behavior provided the practitioner does not engage in prohibited behavior. Source: BACB 2016 Professional and Ethical Compliance Code for Behavior Analysts, BOM Regulations for Behavior Analysts

Referrals BACB Virginia License
Referrals and fees is addressed in Ethics Codes 2.07 and 2.11 Behavior analysts must not receive or provide money, gifts, or other enticements for any professional referrals. Referrals should include multiple options and be made based on objective determination of the client need and subsequent alignment with the repertoire of the referee. When providing or receiving a referral, the extent of any relationship between the two parties is disclosed to the client A practitioner shall receive cash or other compensation for a referral to a facility, institution, or hospital Payments, business arrangements, or payment practices allowed by 42 USC § 1320 a-7b(b) do not apply Source: BACB 2016 Professional and Ethical Compliance Code for Behavior Analysts, BOM Regulations for Behavior Analysts

Sexual Contact BACB Virginia License
Sexual Contact is addressed in Ethics Code 1.07 Behavior analysts do not engage in sexual relationships with clients, students, or supervisees, because such relationships easily impair judgment or become exploitative. Behavior analysts refrain from any sexual relationships with clients, students, or supervisees, for at least two years after the date the professional relationship has formally ended. Sexual behavior is defined as verbal or physical behavior that may be interpreted as intended for sexual arousal of either party or may be interpreted as romantic involvement with a client regardless of the setting (professional or otherwise). This section states that the determination of when a person is a client is made on a case-by-case basis. It does not limit the definition of client to someone who is actively receiving treatment, but the person is only no longer considered a client when the contract is terminated. Who initiated or consented does not change the prohibition. Sexual contact with a former client after termination of the relationship, key third party (spouse or partner, parent or child, guardian, or legal representative), or a subordinate may still be prohibited if the relationship is found to exploit trust, knowledge, or influence of emotions derived from the relationship or the relationship has an adverse effect on client care. Source: BACB 2016 Professional and Ethical Compliance Code for Behavior Analysts, BOM Regulations for Behavior Analysts

Refusal To Provide Info
BACB Virginia License Disclosures are addressed in Ethics Code 2.08 Behavior analysts never disclose confidential information without the consent of the client, except as mandated by law, or where permitted by law for a valid purpose, such as providing services to the client, professional consultations, protecting the client or others from harm, and obtaining payment for services. Behavior analysts need to obtain consent for disclosure a the beginning of the relationship and in an ongoing manner as necessary. A practitioner shall not willfully refuse to provide information or records as requested or required by the board or its representative pursuant to an investigation or to the enforcement of a statute or regulation. Source: BACB 2016 Professional and Ethical Compliance Code for Behavior Analysts, BOM Regulations for Behavior Analysts

Applying for Your License

How to Apply Go to the Board of Medicine Web site and click on the links. Here is the direct link: VABA will be producing a toolkit to assist new applicants. Stay tuned! The BOM suggests you apply prior to taking the test because it takes so long to hear back from the BACB as well as to get a license. The BACB supports this. Feel free to contact me at if you have any questions when the time comes.

Resources

Resources – The Virginia Association for Behavior Analysis – The Association for Professional Behavior Analysts

Resources leg1.state.va.us – The Virginia General Assembly Legislative Information System. On this site you can look up laws that have been passed and the Code of Virginia - The Virginia Board of Medicine On this site you can see the BA regulations and also look up licensed personnel

Resources – the Website for the credentialing body for Board Certified Behavior Analysts® Includes the document Guidelines for Health Plan Coverage of Applied Behavior Analysis Treatment for Autism Spectrum Disorder - VCU Autism Center for Excellence Technical assistance, professional development, and educational research center for Autism Spectrum Disorders

Resources virginiaautismproject.org – Virginia Autism Project
A grassroots, statewide coalition of families with children affected by ASD, working to create positive change through Autism Insurance Reform. autismspeaks.org/advocacy/insurance - Autism Speaks Including the Self-Funded Employer Tool Kit, a toolkit to help families approach their self-funded ERISA employers about adding autism benefits to the company health plan.

Resources - United Health Care Children’s Foundation (UHCCF) Provides a grant that can cover insurance co-pay for children up to 16 Virginia’s Bureau of Insurance If your provider is not following the law: Link to the Life and Health Insurance Complaint Form: Or to discuss a complaint or receive assistance call or (804)

Christy Evanko, BCBA, LBA March 12, 2015

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