FL S0174

Creates requirement for physicians to screen for autism spectrum disorder when parents report symptoms and refer to appropriate specialists if medically necessary, following American Academy of Pediatrics guidelines.

Defines "appropriate specialist" as a qualified licensed professional experienced in autism evaluation, including psychologists, psychiatrists, neurologists, and developmental or behavioral pediatricians.

Requires health insurance plans and health maintenance organizations issued or renewed after January 1, 2015 to provide direct patient access to appropriate specialists for minimum three visits per policy year for autism screening, evaluation, or diagnosis without referral requirement.

Amends existing autism coverage requirements to add direct patient access provisions and clarifies that physicians must inform parents they may access Early Steps program or other specialists without referral for at least three visits per policy year if physician determines specialist referral is not medically necessary.

Effective July 1, 2014.