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OK HB1624
Bill
Status
2/7/2011
Primary Sponsor
Mike Brown
Click for details
AI Summary
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Orders a legislative referendum to be submitted to Oklahoma voters requiring health insurance plans to cover treatment for autism spectrum disorder in individuals under age 21.
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Requires coverage for all therapies, treatments, diagnoses, testing, medicines and supplements prescribed by a licensed physician, with behavioral therapy capped at $30,000 per year and maximum 3 years of coverage (extendable if clinical progress continues).
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Applies to all individual and group health benefit plans offered in Oklahoma effective January 1, 2012, with exemptions for limited benefit policies like accident-only, specified disease, hospital indemnity, Medicare supplement, and long-term care policies.
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Prohibits insurers from denying, refusing to renew, or terminating coverage based solely on an autism diagnosis; defines autism disorder as a neurological condition with onset in first three years of life marked by impaired social interaction and communication.
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Requires treatment plans to include diagnosis, proposed treatments, anticipated outcomes, update frequency, and physician signature; insurers may request plan updates no more than once every six months unless clinical circumstances warrant more frequent review.
Legislative Description
Legislative referendum; insurance; requiring coverage of autism; ballot title; filing.
Health Care
Last Action
Referred to Rules Committee
2/22/2011