Senate Bill 0272c1

CODING: Words stricken are deletions; words underlined are additions.



    Florida Senate - 1999                            CS for SB 272

    By the Committee on Banking and Insurance; and Senators Scott,
    Silver, Forman, Geller, Campbell, Latvala and Gutman




    311-1627-99

  1                      A bill to be entitled

  2         An act relating to health insurance coverage

  3         for autism spectrum disorder; requiring a

  4         health insurer or health maintenance

  5         organization that offers major medical coverage

  6         to include coverage for treating autism

  7         spectrum disorder; defining the term "autism

  8         spectrum disorder"; authorizing an insurer or

  9         health maintenance organization to confirm a

10         diagnosis or review the appropriateness of a

11         treatment plan; providing that the act does not

12         affect the licensure of a health care

13         professional or impair the right to

14         reimbursement of a health care provider; making

15         a legislative finding that the act fulfills an

16         important state interest; providing an

17         effective date.

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19  Be It Enacted by the Legislature of the State of Florida:

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21         Section 1.  Health insurance coverage for autism

22  spectrum disorder.--

23         (1)(a)  As used in this section, the term "autism

24  spectrum disorder" is a neurobiological condition that

25  includes autism, Asperger syndrome, Rett's syndrome, or

26  pervasive developmental disorder, as those disorders occur in

27  various degrees of severity.

28         (b)  Any health insurer or health maintenance

29  organization that issues major medical expense coverage in

30  this state may not exclude coverage prescribed by the

31  referring physician for the treatment of autism spectrum

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CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 1999                            CS for SB 272
    311-1627-99




  1  disorder, including, but not limited to, coverage for

  2  therapeutic evaluations and interventions, such as speech

  3  therapy, occupational therapy, physical therapy, intensive

  4  early intervention, applied behavioral analysis, and Lovaas

  5  behavioral therapy.

  6         (2)  Coverage for autism spectrum disorder is subject

  7  to the same terms and conditions that the insurer or health

  8  maintenance organization applies to the treatment of other

  9  disorders. However, an insurer or health maintenance

10  organization may confirm a diagnosis or review the

11  appropriateness of a specific treatment plan in order to

12  ensure that coverage under this section is limited to

13  diagnostic and treatment services.

14         (3)  This section does not affect the scope of

15  licensure of any health care professional and does not impair

16  any right to reimbursement which is otherwise guaranteed to a

17  health care provider.

18         Section 2.  The Legislature finds that the provisions

19  of this act fulfill an important state interest.

20         Section 3.  This act shall take effect July 1, 1999.

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22          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
23                         Senate Bill 272

24

25  Makes a legislative finding that the provisions of this bill
    fulfill an important state interest.
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