H4623
An Act increasing access to ABA services by recognizing assistant level providers
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- Passed Senate
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Bill overview
This bill aims to improve access to Applied Behavior Analysis (ABA) services in Massachusetts by establishing a new category of ‘assistant level providers.’ These providers would assist licensed BCBAs (Board Certified Behavior Analysts) in delivering ABA therapy, potentially increasing the availability and affordability of these services for individuals with autism. The bill seeks to clarify Medicaid coverage for these assistant providers, expanding the capacity of the existing ABA service system.
Key provisions
- Recognizes ‘assistant level providers’ in autism treatment.
- Aims to expand Medicaid coverage for services provided by these assistants.
- Supports collaboration between licensed BCBAs and assistant providers.
- Intended to increase the number of available ABA services.
- Addresses workforce shortages in the autism treatment field.
Who is affected
- Individuals with autism and their families
- Licensed Board Certified Behavior Analysts (BCBAs)
- Assistant Level Providers
- The Medicaid system in Massachusetts
- The autism service provider industry
Notable changes
- Creates a new classification of providers within the autism treatment landscape.
- Potentially alters Medicaid reimbursement policies for ABA services.
- May lead to a greater role for support staff in delivering ABA therapy.
Sponsors
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Bill H.4623 194th (Current)
An Act increasing access to ABA services by recognizing assistant level providers
By Representative Garballey of Arlington, a petition (subject to Joint Rule 12) of Sean Garballey relative to Medicaid coverage for autism treatment and assistive technologies. Health Care Financing.
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Bill Information
Bill Information
Presenter: Sean Garballey Status: Referred to Joint Committee on Health Care Financing
Tabs
Bill History Petitioners Committee Summary Hearing Attendance
Bill History
Displaying 5 actions for Bill H.4623
| Date | Branch | Action |
| 8/11/2025 | House | Referred to the committee on House Rules |
| 10/8/2025 | House | Reported, referred to the committee on Joint Rules, reported, rules suspended and referred to the committee on Health Care Financing |
| 10/16/2025 | Senate | Senate concurred |
| 1/5/2026 | Joint | Hearing scheduled for 01/15/2026 from 11:00 AM-01:00 PM in A-1 |
| 3/18/2026 | House | Reporting date extended to Monday, June 15, 2026 |
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An Act increasing access to ABA services by recognizing assistant level providers
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