FL S0214

Creates new Section 381.986 requiring physicians to screen minors for autism spectrum disorder per American Academy of Pediatrics guidelines and refer to appropriate specialists when medically necessary, with referral options to Early Steps program if referral not deemed necessary.

Expands coverage requirements in health insurance plans and HMO contracts to include direct patient access to one appropriate specialist for a minimum of three visits annually for screening, evaluation, or diagnosis of autism spectrum disorder or other developmental disabilities (cerebral palsy or Down syndrome).

Defines "appropriate specialist" as a qualified, state-licensed professional experienced in autism spectrum disorder evaluation with validated diagnostic tool training, including psychologists, psychiatrists, neurologists, developmental/behavioral pediatricians, or other professionals approved by rule.

Maintains existing coverage requirements for well-baby/well-child screening and treatment through speech therapy, occupational therapy, physical therapy, and applied behavior analysis, with annual benefit limits of $36,000 and lifetime limits of $200,000 adjusted annually for medical inflation beginning January 1, 2011.

Prohibits insurers and HMOs from denying coverage or refusing to contract with individuals diagnosed with developmental disabilities and exempts signatories to the developmental disabilities compact from enforcement until July 1, 2010.