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January 12.2026
3 Minutes Read

Why Colorado's New Licensing Rule for Autism Therapy Could Threaten Vital Services

Autism providers worry new Colorado licensing rule could limit therapy for kids on Medicaid

Colorado's New Licensing Rule Sparks Outcry from Autism Providers

The recent decision by Colorado's health department to implement new licensing requirements for behavior technicians providing autism therapy has raised significant concerns among care providers and families. Effective this year, all technicians must now hold a national certification as a Registered Behavior Technician (RBT), which has led to fears that as many as a thousand families could lose crucial services under the state’s Medicaid program due to the exclusion of another accredited group.

Why the Exclusion Matters

Dr. Doreen Granpeesheh, the CEO of the Center for Autism and Related Disorders, emphasized the importance of having well-trained behavior technicians for children undergoing applied behavior analysis (ABA) therapy. ABA is often regarded as a vital form of treatment for those on the autism spectrum, aimed at teaching essential life skills and reducing harmful behaviors.

Despite having options like the Board Certified Autism Technician (BCAT) or the Applied Behavioral Analysis Technician (ABAT), the Colorado health department’s choice to limit the certification pathways has baffled many providers. Granpeesheh argues that BCAT credentialing is equivalent to or even superior in many ways, which raises questions about the rationale behind the exclusion.

The Strain on Families and Providers

As the landscape of autism services changes, families relying on Medicaid benefits may face challenges in accessing treatment. Granpeesheh conveyed her concern that many families might find themselves with limited choices or even no available options as their trusted therapists face job insecurity. “Imagine if a child suddenly loses their one-on-one technician,” she stated. “The transition can be incredibly damaging and may lead to a regression in the child’s progress.”

This sentiment echoes broader concerns expressed by families and organizations about the detrimental effects of such regulatory shifts. The Colorado Association of Behavior Analysts (COABA) voiced similar frustrations over the staffing challenges that these network changes entail, particularly given the ongoing shortage of registered behavior technicians.

Comparative Perspectives and Wider Implications

Across the country, the debate about how best to regulate and provide access to autism therapies is ongoing. Other states have adopted stricter licensing requirements based on their assessments of what is necessary to ensure quality care. However, Colorado's exclusive approach to certification raises questions about equity and access, especially for vulnerable populations.

As the changes loom, families often feel caught in between. Advocates argue that while cost-saving measures such as reduced reimbursement rates for Medicaid services may be necessary for budgetary reasons, they disproportionately impact already marginalized groups. Katie Gallardo, a mother of an autistic child, lamented the implications of tighter regulations: “This decision will not only affect the availability of necessary therapies but also exacerbate the existing struggles families face.”

Call to Action for Community Support

In light of the potential for service disruptions, it is crucial for community voices—especially those of families and caregivers—to emerge strongly in support of autism services. Local advocacy can help spur change by engaging with policymakers to reconsider these regulations and ensure that families have access to high-quality autism therapy options, no matter the certification path.

Looking Ahead

With the deadline for compliance having passed, the situation remains uncertain for many providers and families alike. As discussions between organizations and the health department continue, the hope is that stakeholders can collaboratively devise a solution that not only prioritizes the care of children on the autism spectrum but also takes into account the operational realities faced by providers.

In conclusion, it’s essential for the community—parents, advocates, and professionals—to unite and share their stories. These narratives not only highlight the importance of comprehensive autism care but aim to influence change in policy for a more inclusive future. Stay informed and involved with local autism advocacy initiatives to ensure every child receives the support they need.

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