North Dakota committee votes against lifetime autism therapy coverage in Senate Bill 2190

In a recent meeting of the North Dakota House Human Services Committee, lawmakers debated the implications of Senate Bill 2190, which proposed extending coverage for applied behavioral analysis (ABA) therapy for individuals with autism spectrum disorder. The bill aimed to provide these services for the lifespan of individuals, a significant expansion from the current coverage that ends at age 21.

Concerns were raised about the potential fiscal impact of the bill. Some committee members expressed hesitation about committing to lifelong coverage, suggesting a more cautious approach. Representative Holly proposed amending the bill to limit coverage to individuals up to age 21, allowing for a pilot program to evaluate its effectiveness before making a long-term commitment. This suggestion received support from other members, who echoed the need for a thorough assessment of the fiscal implications.

The committee discussed the current Medicaid coverage, which already provides ABA therapy for children up to age 21. The proposed expansion would only add one additional year of coverage, raising questions about the necessity and financial feasibility of extending services beyond this age. Members emphasized the importance of understanding the fiscal note associated with the bill and the potential savings or costs involved.

Ultimately, the committee voted on a motion to recommend a "do not pass" on Senate Bill 2190, reflecting the concerns about the long-term financial commitments and the need for further evaluation. The motion passed with a vote of 6 to 4, indicating a divided opinion on the issue.

As the discussion continues, the committee's decision highlights the ongoing challenges in balancing the needs of individuals with autism and the fiscal responsibilities of the state. The next steps will involve further analysis and potential revisions to ensure that any future legislation effectively meets the needs of the community while remaining financially sustainable.