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OK SB1269
Bill
AI Summary
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Requires all individual and group health benefit plans in Oklahoma, including the State and Education Employees Group Health Insurance Plan, to provide coverage for treatment of autistic disorders for individuals under age 21, effective January 1, 2011
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Coverage must be equal to physical illness coverage with no less favorable dollar limits, deductibles, or coinsurance provisions; requires a treatment plan signed by the treating physician that includes diagnosis, proposed treatments, anticipated outcomes, and update frequency
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Limits behavioral therapy coverage to $75,000 per year with a maximum 3-year period, unless clinical progress reports demonstrate continuing significant skill acquisition
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Mandates coverage for all therapies, treatments, diagnoses, testing, medicines, and supplements prescribed by a licensed physician for autism spectrum disorders, including autistic disorder, Asperger's syndrome, regressive autism, and pervasive developmental disorder
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Prohibits insurers from denying, refusing to issue, or terminating coverage solely because an individual is diagnosed with an autistic disorder; exempts limited benefit policies such as accident-only, specified disease, hospital indemnity, Medicare supplement, and long-term care policies
Legislative Description
Insurance; requiring coverage for autism. Effective date.
Health Care
Last Action
Second Reading referred to Retirement and Insurance
2/2/2010