Thursday, January 22, 2009

Senate Bill 43, Clay's Law

We know that you have all been waiting to see the legislation. Well it has been filed and numbered now. So go ahead and read it!

Bill Highlights:

- Requires private health insurance companies to provide coverage for the diagnosis and treatment of autism spectrum disorder

- Coverage will be provided to individuals under the age of 17

- Coverage under this bill is subject to an maximum benefit of $50,000 annually for a child who is less than 9 years old and a maximum benefit of $25,000 annually for a child who is between 9 and 17 years old

- Coverage provided for treatment of autism spectrum disorders, defined as any treatment generally accepted by the medical community or the American Academy of Pediatrics as an effective treatment for children with autism

- The bill includes coverage of the following treatments: Habilitative or rehabilitative care, Early intensive behavior therapy, Pharmacy care, Psychiatric care, Psychological care, Therapeutic care, Occupational therapy, and Speech therapy

- The bill applies only to fully-funded health plans governed by state

- If passed the bill will go into effect on July 1, 2010