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GA SB118
Bill
Status
Passed
5/8/2018
Primary Sponsor
Renee Unterman
Click for details
AI Summary
- Raises the age limit for mandatory insurance coverage of autism spectrum disorders from 6 years of age or under to 20 years of age or under
- Increases the annual coverage cap for applied behavior analysis (ABA) treatment from $30,000 to $35,000 per year
- Shifts the determination of medical necessity for ABA treatment from a "licensed physician or licensed psychologist" to "the covering entity" (i.e., the insurer), while retaining the requirement that ongoing medical necessity be demonstrated at least annually
- Removes the requirement that prescription drug coverage for autism spectrum disorders be treated the same as coverage for other illnesses, while maintaining that plans without prescription drug coverage are not required to add it
- Effective date of January 1, 2019
Legislative Description
Autism; age limit for coverage for autism spectrum disorders for an individual covered under a policy or contract; change
Last Action
Act 479
5/8/2018
Full Bill Text
No bill text available