Loading chat...
OH HB488
Bill
Status
1/30/2020
Primary Sponsor
Candice Keller
Click for details
AI Summary
-
Designates October 9 as "PANDAS and PANS Awareness Day" in Ohio.
-
Requires health benefit plans issued, delivered, or renewed after the effective date to cover screening, diagnosis, and treatment of PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) and PANS (Pediatric Acute-onset Neuropsychiatric Syndrome).
-
Mandates coverage for comprehensive diagnostic evaluation, immunomodulatory therapies (immunoglobulin, corticosteroids, plasmapheresis, rituximab), antimicrobial treatment, and therapeutic services (speech, occupational, physical therapy).
-
Prohibits step therapy protocols and prior authorization requirements for PANDAS and PANS coverage and makes coverage independent of symptom severity thresholds or immunodeficiency status.
-
Allows PANDAS and PANS conditions to be coded as autoimmune encephalitis for billing purposes if specific diagnostic codes have not been created, and prohibits plan issuers from rejecting claims based on this coding practice.
Legislative Description
Cover treatment of pediatric autoimmune neuropsychiatric disorder
Health and Human Services : Health Care
Last Action
Refer to Committee: Health
2/4/2020