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FL H0951
Bill
Status
3/9/2012
Primary Sponsor
Luis Garcia
Click for details
AI Summary
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Creates new requirement for physicians to refer minors to appropriate specialists for autism spectrum disorder screening if medically necessary, following American Academy of Pediatrics guidelines, and to inform parents of Early Steps Program if referral is not deemed necessary.
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Defines "appropriate specialist" as a qualified licensed professional experienced in autism evaluation, including psychologists, psychiatrists, neurologists, and developmental or behavioral pediatricians.
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Requires health insurance plans and health maintenance organizations issued or renewed after April 1, 2009, to provide direct patient access to appropriate specialists for minimum of three visits per policy year for autism screening, evaluation, or diagnosis without prior authorization.
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Mandates coverage for autism spectrum disorder treatment including speech therapy, occupational therapy, physical therapy, and applied behavior analysis services, with annual limits of $36,000 and lifetime limits of $200,000, adjusted annually for inflation starting January 1, 2011.
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Prohibits insurers and health maintenance organizations from denying coverage or refusing to issue policies based solely on an individual's diagnosis of developmental disability.
Legislative Description
Autism
Last Action
Died in Health and Human Services Access Subcommittee
3/9/2012