The Nebraska Legislature's Health and Human Services Committee convened on September 5, 2025, to discuss critical issues surrounding the provision of Applied Behavioral Analysis (ABA) services for children with autism. The meeting featured testimony from Dr. Corey Kors, founder of Radical Minds, a Nebraska-based ABA provider, who highlighted the challenges and inefficiencies in the current system.

Dr. Kors emphasized that while ABA can be highly effective when tailored to individual needs, the existing reimbursement models often prioritize billing over clinical outcomes. He noted that Nebraska historically had some of the highest Medicaid reimbursement rates in the nation, which attracted providers but also led to a focus on maximizing billable hours rather than delivering quality care. He criticized the prevailing practice of prescribing a standard 40 hours of therapy per week for all children, arguing that this approach lacks evidence and can lead to a drift towards custodial care rather than individualized treatment.

The discussion revealed a concerning trend where families often encounter a one-size-fits-all model, with many providers offering only the 40-hour option, regardless of the child's specific needs. Dr. Kors called for a reevaluation of reimbursement structures to ensure they align with clinical necessity and promote quality outcomes rather than volume of services.

Senator Frederickson and other committee members engaged Dr. Kors in a dialogue about the implications of these practices. They expressed concern over the potential for overutilization of services and the impact on families seeking effective care. Dr. Kors pointed out that while immediate access to services is important, it should not come at the expense of quality.

The meeting also addressed the broader implications of these billing practices on the market, including rising labor costs and the influence of private equity in the ABA sector. Dr. Kors urged the committee to consider legislation that would establish clear standards for service delivery and reimbursement, ensuring that families receive the individualized care they deserve.

In conclusion, the committee's discussions underscored the urgent need for reform in the ABA service delivery model in Nebraska. As families continue to face long wait times and limited access to quality care, the committee's next steps will be crucial in shaping a more effective and sustainable system for children with autism and their families.