SENATE BILL No. 1474

September 26, 2002, Introduced by Senators BYRUM, SMITH, DE BEAUSSAERT and

HAMMERSTROM and referred to the Committee on Health Policy.

A bill to amend 1956 PA 218, entitled

"The insurance code of 1956,"

(MCL 500.100 to 500.8302) by adding section 3406r.

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

1 SEC. 3406R. (1) AN EXPENSE-INCURRED HOSPITAL, MEDICAL, OR

2 SURGICAL POLICY OR CERTIFICATE DELIVERED, ISSUED FOR DELIVERY, OR

3 RENEWED IN THIS STATE AND A HEALTH MAINTENANCE ORGANIZATION CON-

4 TRACT SHALL PROVIDE COVERAGE FOR THE TREATMENT OF AUTISM SPECTRUM

5 DISORDER, INCLUDING, BUT NOT LIMITED TO, COVERAGE FOR THERAPEUTIC

6 EVALUATIONS AND INTERVENTIONS, SPEECH THERAPY, OCCUPATIONAL THER-

7 APY, PHYSICAL THERAPY, INTENSIVE EARLY INTERVENTION, APPLIED

8 BEHAVIORAL ANALYSIS, AND LOVAAS BEHAVIORAL THERAPY.

9 (2) COVERAGE FOR AUTISM SPECTRUM DISORDER UNDER THIS SECTION

10 IS SUBJECT TO THE SAME TERMS AND CONDITIONS THAT THE INSURER OR

11 HEALTH MAINTENANCE ORGANIZATION APPLIES TO THE TREATMENT OF OTHER

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1 DISORDERS. HOWEVER, AN INSURER OR HEALTH MAINTENANCE

2 ORGANIZATION MAY CONFIRM A DIAGNOSIS OR REVIEW THE APPROPRIATE-

3 NESS OF A SPECIFIC TREATMENT PLAN IN ORDER TO INSURE THAT COVER-

4 AGE UNDER THIS SECTION IS LIMITED TO DIAGNOSTIC AND TREATMENT

5 SERVICES.

6 (3) AS USED IN THIS SECTION, "AUTISM SPECTRUM DISORDER"

7 MEANS A NEUROBIOLOGICAL CONDITION THAT INCLUDES AUTISM, ASPERGER

8 SYNDROME, AND RETT'S SYNDROME.

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