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



                                                   HOUSE AMENDMENT

    568-201AX-32                                Bill No. CS/HB 913

    Amendment No. ___ (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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  5                                           ORIGINAL STAMP BELOW

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10  ______________________________________________________________

11  Representative(s) Crow offered the following:

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13         Amendment (with title amendment) 

14         On page 12, between lines 7 and 8,

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16  insert:

17         Section 2.  Health insurance coverage for autism

18  spectrum disorder.--

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

20  spectrum disorder" means a neurobiological condition that

21  includes autism, Asperger syndrome, and Rett's syndrome.

22         (b)  Any health insurer or health maintenance

23  organization that issues major medical expense coverage in

24  this state may not exclude coverage prescribed by the

25  referring physician for the treatment of autism spectrum

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

27  therapeutic evaluations and interventions, such as speech

28  therapy, occupational therapy, physical therapy, intensive

29  early intervention, applied behavioral analysis, and

30  behavioral therapy.

31         (2)  Coverage for autism spectrum disorder is subject

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    File original & 9 copies    03/07/02
    hbd0016                     08:05 am         00913-0049-953405




                                                   HOUSE AMENDMENT

    568-201AX-32                                Bill No. CS/HB 913

    Amendment No. ___ (for drafter's use only)





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

  2  maintenance organization applies to the treatment of other

  3  disorders. However, an insurer or health maintenance

  4  organization may confirm a diagnosis or review the

  5  appropriateness of a specific treatment plan in order to

  6  ensure that coverage under this section is limited to

  7  diagnostic and treatment services.

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

  9  licensure of any health care professional and does not impair

10  any right to reimbursement that is otherwise guaranteed to a

11  health care provider.

12         Section 3.  The Legislature finds that the provisions

13  of this act fulfill an important state interest.

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16  ================ T I T L E   A M E N D M E N T ===============

17  And the title is amended as follows:

18         On page 1, line 22, after the semicolon,

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20  insert:

21         requiring certain health insurers or health

22         maintenance organizations to include coverage

23         for treating autism spectrum disorder;

24         providing a definition; authorizing an insurer

25         or health maintenance organization to confirm a

26         diagnosis or review the appropriateness of a

27         treatment plan; providing that the act does not

28         affect the licensure of a health care

29         professional or impair the right to

30         reimbursement of a health care provider;

31         providing a legislative finding of important

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    File original & 9 copies    03/07/02
    hbd0016                     08:05 am         00913-0049-953405




                                                   HOUSE AMENDMENT

    568-201AX-32                                Bill No. CS/HB 913

    Amendment No. ___ (for drafter's use only)





  1         state interest;

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    File original & 9 copies    03/07/02
    hbd0016                     08:05 am         00913-0049-953405