DETROIT, Feb. 24, 2012
DETROIT, Feb. 24, 2012 /PRNewswire/ -- The Sixth Circuit Court of Appeals today denied a Petition by Blue Cross Blue Shield of Michigan which sought to overturn a ruling that all children who were denied Applied Behavior Analysis therapy for autism, on the ground that the therapy was "experimental," may sue as a class action. The ruling was issued in the case of Potter v Blue Cross Blue Shield of Michigan, No. 10-cv-14981 (E.D. Mich. 2011), pending in federal court in the Eastern District of Michigan, in Detroit.
Previously, on July 14, 2011, Judge Stephen J. Murphy, III, granted two families' Motion for Class Certification, ruling that Blue Cross' denial of this therapy presented a common issue appropriate for class action status. The court of appeals' denial today of Blue Cross' Petition to appeal means that the case will proceed on behalf of all families who were denied this critical therapy by Blue Cross, even those who never submitted a claim to Blue Cross in light of Blue Cross' well known policy to deny claims for ABA therapy.
ABA therapy is provided by prestigious health care providers all over the United States, including Beaumont Hospital's HOPE Center, and is approved by the American Academy of Pediatrics, the U.S. Surgeon General, the National Institutes of Health, and many others. In particular:
Despite the mountain of evidence showing that ABA therapy is well established and helps children with autism to achieve their greatest potential, Blue Cross continues to deny the therapy on the specious ground that it is "experimental." Yet, in mid-2010, Blue Cross settled the similar class action case of Johns v. Blue Cross, No.08-12272 (E.D. Michigan). In that case, Blue Cross agreed to reimburse nearly 100 families who were denied coverage for this therapy. Yet, after the settlement, Blue Cross persisted in denying this therapy to children with autism spectrum disorder. That led to the filing of another case against it, specifically, Potter v Blue Cross Blue Shield of Michigan.
The attorneys for the families are:
Gerard Mantese, Esq.Mantese Honigman Rossman and Williamson, P.C.1361 E. Big Beaver RoadTroy, Michigan 48083248-457-9200 Office248-515-6419 Cellwww.manteselaw.com
John J. Conway, Esq.John J. Conway, P.C.26622 Woodward Avenue, Suite 225Royal Oak, MI 48067313-961-6525 Office313-574-2148 Cell
SOURCE Mantese Honigman Rossman and Williamson, P.C.PR Newswire
Last updated on: 24/02/2012
PharmiWeb.com is Europe's leading industry-sponsored portal for the Pharmaceutical sector, providing the latest jobs, news, features and events listings.
The information provided on PharmiWeb.com is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician.