Re post from Autism Votes website
Summary of the Autism Insurance Reform law:
- Requires the state employees health plan to provide coverage for the diagnosis and treatment of autism spectrum disorders for state employees and their families
- Coverage will be provided to individuals under the age of 21
- Coverage under this law is subject to an inflation-adjusted maximum benefit of $36,000 annually
- Coverage of treatments will be provided when prescribed, provided, or ordered for an individual diagnosed with autism by a licensed physician, a licensed psychologist, a licensed social worker, or a licensed registered nurse practitioner who determines the care to be medically necessary
- The law includes coverage of the following treatments: Diagnosis, Habilitative or rehabilitative care, Pharmacy care, Psychiatric care, Psychological care, Therapeutic care, Applied Behavior Analysis (ABA)
- The law calls for the commissioner, in consultation with the board of medicine, to adopt rules providing for the certification of behavior specialists
- The law applies only to state employee health care plans
- The law went into effect on January 1, 2011
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