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MI SB0739

Bill

Status

Introduced

8/18/2009

Primary Sponsor

Gilda Jacobs

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Origin

Senate

95th Legislature

AI Summary

  • Requires health care corporation group certificates to provide coverage for diagnosis and treatment of autism spectrum disorders, including autistic disorder, Asperger's disorder, and pervasive developmental disorder not otherwise specified.

  • Eliminates visit limits for autism services providers and prohibits dollar limits, copays, deductibles, or coinsurance that don't apply to physical illness, except applied behavior analysis may be subject to a maximum annual benefit of $50,000.

  • Defines covered treatments as evidence-based care including habilitative or rehabilitative care, pharmacy care, psychiatric care, psychological care, and therapeutic care prescribed by licensed physicians or psychologists.

  • Allows health care corporations to request treatment reviews consistent with current protocols and require treatment plans, with costs borne by the corporation, and permits use of evidence-based care and managed care cost-containment practices.

  • Applies to certificates delivered, executed, issued, amended, adjusted, or renewed 180 days after the act's enactment.

Legislative Description

Insurance; health care corporations; coverage for certain treatments related to autism; provide for. Amends 1980 PA 350 (MCL 550.1101 - 550.1704) by adding sec. 416e.

Disabilities, other

Last Action

Referred To Committee On Economic Development And Regulatory Reform

8/18/2009

Committee Referrals

Economic Development & Regulatory Reform8/18/2009

Full Bill Text

No bill text available