Governor Kathy Hochul’s proposed $252 billion state budget has sparked outrage—and for good reason. While the plan boosts spending for hospitals and labor unions, it simultaneously proposes a $30 million cut over two years to Medicaid coverage for ABA therapy, the gold-standard treatment for children with autism.
That means some of the most vulnerable children in New York—those from low-income families who rely on public healthcare—could soon lose access to life-changing support. These proposed cuts to autism services aren’t just short-sighted; they’re harmful, unjust, and entirely avoidable.
The Real-World Impact of Slashing ABA Coverage
ABA (Applied Behavior Analysis) therapy helps children with autism build essential life skills—from communication and play to emotional regulation and independence. For children who struggle with self-injury, stimming, or severe meltdowns, ABA offers structure and relief. It also supports families in creating routines that work at home, in school, and in the community.
Families with private insurance will continue to access this care. But those relying on Medicaid—many of whom only recently gained full coverage in 2023—will be left behind. That gap will widen already existing disparities in autism care, leaving thousands of kids without early intervention that could set them on a path toward long-term success.
A Budget That Prioritizes Politics Over People
The governor’s budget increases reimbursement for hospitals and healthcare unions while lowering rates for autism therapists—many of whom are not unionized. That decision isn’t just about numbers. It’s about whose voices carry weight in Albany.
Yet the numbers don’t lie: The entire Medicaid ABA therapy program represents a tiny portion of the state’s budget, far less than what’s lost annually in billing errors or improper payments, according to recent audits. Redirecting wasteful spending—rather than stripping critical care—would be the responsible path forward.
Supporting ABA Therapy Services in New York Is a Moral Imperative
We see the difference ABA therapy makes every single day. At Empower ABA, we deliver ABA therapy services in New York that help children learn, grow, and thrive—especially when services begin early and remain consistent. These aren’t luxury services. They’re essential care for children who need targeted, individualized support.
Cutting funding now means more children will fall through the cracks, more families will struggle, and the state will spend far more down the road on crisis care, mental health services, and special education. There is a better way—one that prioritizes prevention, equity, and real long-term outcomes.
Get in touch today to learn how our ABA therapy services in New York are changing lives. We’ll walk you through what care looks like, how we individualize each program, and why access must be protected—not reduced. Let’s work together to ensure every child has the opportunity to reach their potential