Bill > SB1566

This bill modifies requirements and procedures for applied behavior analysis (ABA) treatment for autism spectrum disorder (ASD) under the state Medicaid program, with key provisions including defining who can provide an initial ASD diagnosis for medical necessity, prohibiting a blanket re-diagnosis requirement for continued coverage after an initial diagnosis, and establishing rules for ABA services provided in person versus via telehealth. Specifically, it outlines that a definitive ASD diagnosis from a licensed pediatric neurologist, developmental pediatrician, psychologist, psychiatrist, neuropsychiatrist, or other physician experienced in ASD diagnosis, or an interdisciplinary team, will be accepted for medical necessity. The bill also clarifies that registered behavior technicians, assistant behavior analysts, and similar professionals must provide ABA services in person, while board-certified behavior analysts (BCBAs) can use telehealth for direct services or supervision, and BCBAs are not required to be located within the state or near its border as long as they are licensed in Oklahoma or their state of residence. The bill defines "applied behavior analysis" as designing and implementing environmental modifications to improve behavior, "autism spectrum disorder" based on the DSM, and "behavioral health treatment" as necessary counseling and treatment programs. This legislation is set to become effective on November 1, 2026.