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MI SB0740
Bill
Status
8/18/2009
Primary Sponsor
Randy Richardville
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AI Summary
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Requires health insurers and health maintenance organizations to provide coverage for diagnosis and treatment of autism spectrum disorders in group hospital, medical, and surgical certificates delivered or renewed in Michigan.
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Prohibits insurers and HMOs from terminating coverage or refusing to issue policies solely because an individual is diagnosed with or has received treatment for autism spectrum disorder.
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Eliminates visit limits and generally prohibits dollar limits, copays, deductibles, or coinsurance for autism treatment, except applied behavior analysis which may be subject to a $50,000 annual maximum benefit.
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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.
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Allows insurers to request treatment reviews and require treatment plans consistent with current protocols, with review costs borne by the insurer, and applies 180 days after enactment to policies delivered or renewed in Michigan.
Legislative Description
Insurance; health; coverage for certain treatments related to autism; provide for. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406s.
Insurance, health
Last Action
Referred To Committee On Economic Development And Regulatory Reform
8/18/2009