The ACA refers to the Affordable Care Act.

Listen, I get why you're asking the question. You want to know if she's only seeing you because she has to. I'm guessing probably not. But ethically therapists are bound to do no harm. If she feels you need treatment during the grievance process it would be unethical to stop treating you.

But a much bigger wrench I see in this process is that most insurance companies include a provision saying the patient is liable for any treatment outside the scope of coverage. They put you on notice of this a long time ago and u can't imagine 19 sessions out of pocket will be cheap.

My advice is to call your insurance company and ask what is going on with the grievance.