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CT SB00974
Bill
Status
Introduced
2/16/2011
Primary Sponsor
Insurance and Real Estate Committee
Click for details
AI Summary
- Repeals and replaces Section 38a-514b of general statutes, effective January 1, 2012, to mandate group health insurance coverage for autism spectrum disorder diagnosis and treatment
- Requires coverage of behavioral therapy (applied behavior analysis, cognitive behavioral therapy, or other evidence-based therapies) for children under 15 years old, with yearly limits of $50,000 (under age 9), $35,000 (ages 9-12), and $25,000 (ages 13-14)
- Provides an alternative coverage option for developmental/relationship-based therapy capped at 5 years' duration with yearly limits of $10,000 (year 1), $8,000 (year 2), $6,000 (year 3), and $4,000 (years 4-5)
- Requires coverage of prescription drugs, psychiatric services, psychological services, physical therapy, speech-language pathology, and occupational therapy for autism spectrum disorder treatment
- Prohibits insurers from imposing greater financial burdens (copayments, deductibles, coinsurance) for autism treatment than for other medical conditions and limits utilization reviews to once every six months
Legislative Description
An Act Concerning Group Health Insurance Coverage For An Alternative Therapy In The Treatment Of Autism Spectrum Disorders.
Last Action
Public Hearing 02/24
2/18/2011
Committee Referrals
Insurance and Real Estate2/16/2011
Full Bill Text
No bill text available