Staff Analysis of the Legislation
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SUMMARY: LC 256452 Requires insurance companies to provide certain coverage of autism spectrum disorders including habilitative or rehabilitative services, counseling services, and therapy services. The policy shall provide for:
- coverage of assessments, evaluations, or tests by a licensed physician or psychologist
- coverage for the treatment of autism spectrum disorders when it is determined by a licensed physician or psychologist that the treatment is medically necessary health care
- the policy shall not limit the number of visits
- coverage may be limited to $35,000 annually
- coverage is provided under certain circumstances for individuals who are six years of age or under
EFFECTIVE DATE: Upon approval by the General Assembly and Governor.
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