Loading chat...
GA SB1
Bill
Status
Engrossed
1/29/2015
Primary Sponsor
Charlie Bethel
Click for details
AI Summary
- Requires accident and sickness insurance policies to cover autism spectrum disorder diagnosis and treatment for individuals age six and under, including assessments, evaluations, counseling, therapy services, and applied behavior analysis (ABA)
- Caps coverage for applied behavior analysis at $35,000 per year, with no limits on the number of visits, and requires treatment to be deemed medically necessary by a licensed physician or psychologist with annual re-evaluation
- Exempts employers with ten or fewer employees and excludes limited benefit insurance policies (e.g., dental, vision, disability, long-term care) from the coverage mandate
- Allows insurers an exemption from the behavioral health treatment coverage requirement if an actuary certifies to the Insurance Commissioner that the associated costs exceed 1% of premiums, with the exemption lasting one year before coverage must resume
- Requires the Department of Insurance to submit an annual report to the General Assembly beginning January 15, 2017, detailing the number of insured individuals diagnosed, total claims paid, cost per insured per month, and average cost of ABA coverage
Legislative Description
Insurance; provide for certain insurance coverage for autism spectrum disorders
Last Action
House Passed/Adopted By Substitute
3/22/2016
Full Bill Text
No bill text available