CT SB00205

Individual and group health insurance policies must provide coverage for medically necessary early intervention services for children from birth until age three as part of an individualized family service plan, effective July 1, 2012.

Policies cannot impose coinsurance, copayments, deductibles, or other out-of-pocket expenses for early intervention services, except for high deductible health plans.

Maximum annual benefit of $6,400 per child and aggregate benefit of $19,200 per child over the three-year period, except children with autism spectrum disorder who receive higher limits of $50,000 annually and $150,000 over three years.

Payments for early intervention services cannot be applied against lifetime or annual limits, cannot affect insurance availability or eligibility, and cannot be used as grounds for policy rescission or cancellation.

Early intervention coverage provided through family service plans for children with autism spectrum disorder shall be credited toward autism spectrum disorder coverage requirements under separate statute.