The escalating expenses associated with Applied Behavior Analysis (ABA) therapy for children with autism have prompted significant action from Indiana's highest office. Governor Mike Braun has issued an executive directive aimed at scrutinizing and managing these soaring expenditures. The governor has assembled a specialized task force composed of parents, lawmakers, medical professionals, and ABA service providers to investigate ways to reduce costs without compromising care quality.

A critical issue highlighted by the governor is the rapid increase in spending on ABA therapy. Between 2017 and 2019, the expenditure skyrocketed from approximately $14.4 million to $120 million. Projections indicate that by 2026, this figure could balloon to a staggering $645 million, equating to over $80,000 per child receiving Medicaid-funded therapy. Braun attributes much of this surge to improper payments and fraudulent activities. An audit conducted by the U.S. Office of the Inspector General revealed that Indiana made over $56.5 million in erroneous Medicaid payments for ABA services during 2019 and 2020.

The task force will explore various strategies to ensure sustainable and effective therapy provision. These include identifying optimal clinical models tailored to different developmental stages, enhancing coordination among service providers, and establishing clear guidelines for transitioning children as they grow. Additionally, the group will consider implementing caps on weekly therapy hours and monthly service durations, along with creating a robust appeals process for exceptional cases. New enrollment and billing requirements for ABA providers will also be established to address issues identified in the federal audit.

While efforts are underway to control costs, concerns remain about potential limitations on therapy duration. Parents like Morgan Herron worry that proposed changes might restrict essential support for their children as they navigate critical life transitions. The governor emphasizes the need for actionable recommendations that balance financial responsibility with the well-being of those who rely on these vital services. Through thoughtful collaboration and careful evaluation, the task force aims to forge a path forward that ensures both fiscal prudence and continued access to high-quality care.