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Sens. Kirsten Gillibrand and Eric Schmitt urged Defense Secretary Peter Hegseth to remove rules limiting Applied Behavior Analysis therapy under TRICARE. The letter followed an NBC News report detailing coverage denials for military families. It seeks to designate the therapy as a basic benefit.
upi.comSens. , sent a letter Friday to Defense Secretary Peter Hegseth calling for the removal of rules in the TRICARE program that have blocked some Applied Behavior Analysis therapies for children with autism. Nbc News reported the letter less than 24 hours after detailing coverage restrictions faced by military families and retirees.
Gillibrand and Schmitt, both members of the Senate Armed Services Committee, which oversees the Defense Health Agency and TRICARE, asked the Pentagon to make ABA therapies a basic benefit. The therapy helps children communicate and learn daily life skills.
In one case highlighted by NBC News, the program restricted coverage for Logan Cabiao, a 10-year-old nonverbal boy with severe autism who requires round-the-clock care.
Logan receives TRICARE through his father, Mario Cabiao, a retired Air Force pilot, and had received the therapy for several years until new requirements added in 2021 narrowed services. “It is unacceptable that military families are being denied essential care for their autistic children,” Gillibrand said in a release.
” Kristi Cabiao, Logan’s mother, founded a nonprofit to lobby for the changes and said she last visited Capitol Hill in March.
Key lawmakers told her at that time that the budget was tight and changes were unlikely this year. Both senators had supported an independent analysis by the National Academies of Sciences, Engineering and Medicine that recommended updating TRICARE policies to include ABA as a basic benefit.
The Defense Health Agency declined to comment on the initial NBC News report and did not immediately respond to questions about the letter.
NBC News reported last month that many TRICARE beneficiaries in the Western region encountered billing errors, delayed reimbursements and denied claims after the agency switched contractors to TriWest Healthcare Alliance, which later apologized for the problems.
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Los Angeles TimesThe Defense Department reinstated required flu vaccinations for new recruits after an outbreak at Lackland Air Force Base sickened nearly 300 people. The reversal ends a policy that had made the shots optional for the first time in 70 years.
upi.comThe legislation would let drugmakers issue retroactive rebates and impose new rules on hospitals and contract pharmacies. Separately, the Trump administration is considering Jeff Vacirca to lead the FDA.