On February 27, 2025, the Connecticut State Legislature introduced House Bill 7109, a significant piece of legislation aimed at enhancing access to applied behavior analysis (ABA) services for children, particularly those diagnosed with autism spectrum disorder (ASD). This bill seeks to address critical gaps in service delivery and reimbursement frameworks that have long hindered families in need of these essential therapies.

The primary objective of House Bill 7109 is to expand access to ABA services by establishing a comprehensive framework for their delivery through community-based organizations. The bill mandates that by September 1, 2025, the Office of Early Childhood and the Department of Social Services, in collaboration with the Autism Spectrum Disorder Advisory Council, develop recommendations for a statutory and regulatory framework. This framework will include essential components such as background checks for service providers, oversight structures to ensure service quality, and a rate-setting mechanism to guarantee adequate Medicaid reimbursement rates.

One of the bill's notable provisions requires the commissioner to submit a progress report by December 1, 2025, detailing advancements in expanding access to ABA services and any additional funding needs. This accountability measure aims to ensure that the state remains focused on improving service delivery for a vulnerable population.

The introduction of House Bill 7109 has sparked discussions among lawmakers, advocates, and service providers. Proponents argue that the bill is a crucial step toward addressing the urgent needs of families affected by autism, who often face long wait times and inadequate access to necessary therapies. However, some critics express concerns about the potential costs associated with implementing the proposed framework and the adequacy of state resources to support these initiatives.

The implications of this legislation are significant. If passed, House Bill 7109 could lead to improved access to vital services for children with ASD, potentially enhancing their developmental outcomes and quality of life. Economically, the bill may also alleviate some financial burdens on families, as better reimbursement rates could reduce out-of-pocket expenses for therapy.

As the legislative process unfolds, stakeholders will be closely monitoring the discussions surrounding House Bill 7109. The outcome could set a precedent for how Connecticut approaches autism services and Medicaid reimbursement in the future, reflecting a broader commitment to supporting individuals with disabilities and their families.