So much is happening right now across our field, and our clients need us paying attention.

For years, many of us have been sounding the alarm about systems that resist change, funding structures that fail to keep pace with need, bad actors who undermine trust, and the growing influence of private equity in spaces serving some of our most vulnerable populations.

Now layer on broader national conversations about Medicaid spending, fraud investigations, reimbursement rates, provider networks, and healthcare cost containment.

What are we seeing across the country?

While each state is experiencing these issues differently, the common theme is clear: access to services is increasingly being shaped by funding decisions, policy changes, accountability efforts, and workforce realities.

Medicaid is one of the largest funders of ABA services in the United States and plays a critical role in helping many children, adults, and families access medically necessary care. As demand for services has grown, so too have concerns related to funding, workforce shortages, provider networks, reimbursement rates, program integrity, and long-term sustainability. Across the country, policymakers, Medicaid agencies, providers, advocates, and families are grappling with how to balance accountability, quality, cost, and access. The resources below highlight some of the developments shaping that conversation. Protecting access and addressing fraud are not opposing goals. Both are essential to ensuring quality, sustainable services for the people who rely on them.

Medicaid & Access to ABA

New York

National Scrutiny & Accountability

Florida

North Carolina

  • Medicaid funding and reimbursement

  • Access to medically necessary services

  • Provider network changes

  • Workforce shortages

  • Fraud, waste, and abuse

  • Accountability and oversight

  • Service quality and outcomes

  • Private equity and industry consolidation

Common Themes Across States

The resources below highlight some of the developments shaping that conversation. Protecting access and addressing fraud are not opposing goals. Both are essential to ensuring quality, sustainable services for the people who rely on them.