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GA HB1437
Bill
Status
Introduced
2/29/2024
Primary Sponsor
Mitchell Scoggins
Click for details
AI Summary
- All health benefit policies issued or renewed on or after July 1, 2024, must cover the diagnosis and treatment of PANDAS (pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections) and PANS (pediatric acute onset neuropsychiatric syndrome) when supported by nationally recognized clinical practice guidelines
- The state health benefit plan for state and public employees, dependents, and retirees must include PANDAS/PANS coverage beginning January 1, 2025
- Covered services include diagnosis, treatment, appropriate management, and ongoing monitoring of PANDAS or PANS disorders in children and adolescents
- Special deductibles, coinsurance, copayments, or other limitations unique to PANDAS/PANS coverage are prohibited; these benefits must be subject to the same cost-sharing provisions as all other covered healthcare services
- Self-insured health benefit plans subject to the federal Employee Retirement Income Security Act (ERISA) are excluded from the mandate's requirements
Legislative Description
Insurance; require coverage for diagnosis and treatment of pediatric autoimmune neuropsychiatric disorders; provisions
Last Action
House Second Readers
3/5/2024
Committee Referrals
Insurance3/4/2024
Full Bill Text
No bill text available