Oregon has no annual cap under the S.B. 365 (2013). Here's what families and operators need to know.
No annual cap · S.B. 365 (2013)Updated April 2026S.B. 365 (2013)
2013
Oregon Health Plan (Medicaid) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
Oregon's mandate has no annual dollar cap and no age limit. The Oregon Health Plan (Medicaid) also provides comprehensive ABA coverage through coordinated care organizations.
Yes. Oregon's S.B. 365 (2013) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Yes. The Oregon Health Plan covers ABA therapy for children under 21 through EPSDT. Coverage is coordinated through regional Coordinated Care Organizations (CCOs).
The Portland metro area has extensive ABA provider options. Eugene, Salem, and Bend have growing networks. Rural Oregon relies more on telehealth ABA, though in-person options are expanding.
Higglo works with ABA providers across Oregon on marketing, intake, and growth. Talk to our team about your program.
