Loading chat...
MI HB4604
Bill
Status
5/3/2011
Primary Sponsor
Jimmy Womack
Click for details
AI Summary
-
Requires health insurance plans and HMOs in Michigan to provide coverage for diagnosis and treatment of autism spectrum disorders (autistic disorder, Asperger's disorder, and pervasive developmental disorder not otherwise specified).
-
Prohibits insurers and HMOs from denying, terminating, or refusing to renew coverage solely because an individual is diagnosed with or has received treatment for autism spectrum disorder.
-
Eliminates visit limits for autism services providers and prohibits dollar limits, copays, deductibles, or coinsurance that do not apply to physical illness, except applied behavior analysis is limited to a maximum annual benefit of $50,000.
-
Defines covered treatment as evidence-based care including habilitative or rehabilitative care, pharmacy care, psychiatric care, psychological care, and therapeutic care prescribed by a licensed physician or psychologist as medically necessary.
-
Allows insurers to request treatment reviews and require treatment plans at the insurer's cost, using evidence-based care and managed care cost-containment practices; effective 180 days after enactment for all policies issued 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
Printed Bill Filed 05/04/2011
5/4/2011