Service Delivery

Public Policy, Legislation, and Licensure in Nevada: Lessons Learned

Fronapfel et al. (2025) · Behavior Analysis in Practice 2025
★ The Verdict

Nevada’s 15-year win gives BCBAs a ready-made playbook for state licensure campaigns.

✓ Read this if BCBAs in states that still lack ABA licensure or clear insurance mandates.
✗ Skip if BCBAs in states with stable licensure who only want clinical treatment data.

01Research in Context

01

What this study did

Fronapfel et al. (2025) tell the 15-year story of how Nevada BCBAs won state licensure and insurance mandates. The authors walk through every bill, amendment, and coalition meeting from 2009 to 2024.

They did not run an experiment. They simply list what happened, what failed, and what finally passed.

02

What they found

The big lesson: licensure takes several legislative sessions. The first bills died. Each loss taught the group to add new allies, tweak language, and return the next year.

In the end, Nevada BCBAs gained a practice act and an insurance mandate. The paper shares e-mail templates, hearing scripts, and amendment wording that worked.

03

How this fits with other research

de la Cruz et al. (2025) describe the same process in Texas. Both states needed years, but Texas BCs built a strong state association first, while Nevada BCs learned on the fly through repeated amendments. Same goal, different path.

Morris et al. (2024) scanned every state ABA law and found scope language is often too narrow. Nevada’s final bill is one of the laws they coded, so the new paper shows how one state fixed the narrow-scope problem.

Chan et al. (2022) give an agency-level policy for home safety. Nevada gives a state-level policy for service access. Together they show BCBAs can shape policy from the living room to the legislature.

04

Why it matters

If you work in a state without licensure, use Nevada’s timeline to set real expectations: plan for three to five legislative cycles, not one. Borrow their coalition list—parents, disability groups, insurance reps—and their amendment language. Share the paper with your state association board so they know what a winning campaign looks like.

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Download the paper, copy the coalition contact list, and schedule a state association planning meeting.

02At a glance

Intervention
not applicable
Design
narrative review
Finding
not reported

03Original abstract

In recent decades, behavior analysts have become involved in public policy and legislative efforts to protect the practice of the profession at state and national levels, as well as to support and protect the consumers of behavior analytic services. In the state of Nevada, these efforts have been ongoing since the introduction and passage of Nevada Assembly Bill (NAB) 162, establishing insurance coverage for autism spectrum disorder, in 2009. As a result, legislation establishing the regulation of the profession of behavior analysis was passed and subsequently amended over multiple legislative sessions. This article discusses various lessons learned throughout the ongoing licensing and regulatory process in Nevada, with hope of providing a resource for behavior analysts that are involved in public policy.

Behavior Analysis in Practice, 2025 · doi:10.1007/s40617-023-00884-z