HI SB668

Requires all health insurers, mutual benefit societies, and health maintenance organizations in Hawaii to provide coverage for screening, diagnosis, and evidence-based treatment of autism spectrum disorders for individuals under age 21, effective after January 1, 2014.

Establishes maximum annual benefit of $50,000 and lifetime maximum benefit of $300,000 for behavioral health treatment, with unlimited visits to autism service providers and no limits on other treatment types.

Mandates insurers provide written notice to policyholders about autism coverage by December 31, 2014, and allows annual inflation adjustments to maximum benefits by the insurance commissioner starting after December 31, 2015.

Prohibits denying coverage based on habilitative or non-restorative treatment nature, limits treatment reviews to once per 12 months (except inpatient services), and requires insurers to include board-certified behavior analysts in provider networks equivalent to licensed psychologists.

Excludes qualified health plans offered through the Hawaii health insurance exchange from requirements exceeding essential health benefits under the Affordable Care Act, but applies mandate to all plans offered outside the exchange.