Starting April 1, 2026, most ABA services will see a 10% reduction, though group therapy rates will rise 15%.

Deputy Secretary Eric Miller says the move is needed to keep spending sustainable, noting Indiana was on track to top $800 million on ABA alone. He insists the new rates remain above national and regional averages, stressing the goal is “high-quality therapy, not just therapy.”

But providers warn the cuts will shrink access. Shalan Baker, who runs Logansport’s only locally-owned autism center, says she’ll be forced to close next week, leaving families facing long waitlists and drives of up to 45 miles for care. Jason McManus with Wabash Center SOAR in Lafayette predicts ripple effects across smaller, rural clinics.

Critics argue the group therapy bump won’t offset the losses, calling the changes “heartbreaking” for families who depend on these services.