Insurance; health care corporations; coverage for certain

treatments related to autism; provide for.

INSURANCE: Health care corporations; MENTAL HEALTH: Other;

DISABILITIES:

A bill to amend 1980 PA 350, entitled

"The nonprofit health care corporation reform act,"

(MCL 550.1101 to 550.1704) by adding section 416d.

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

1 SEC. 416D. (1) A HEALTH CARE CORPORATION GROUP OR NONGROUP

2 CERTIFICATE SHALL PROVIDE COVERAGE FOR THE TREATMENT OF AUTISM

3 SPECTRUM DISORDER, INCLUDING, BUT NOT LIMITED TO, COVERAGE FOR

4 THERAPEUTIC EVALUATIONS AND INTERVENTIONS, SPEECH THERAPY, OCCU-

5 PATIONAL THERAPY, PHYSICAL THERAPY, INTENSIVE EARLY INTERVENTION,

6 APPLIED BEHAVIORAL ANALYSIS, AND LOVAAS BEHAVIORAL THERAPY.

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

8 IS SUBJECT TO THE SAME TERMS AND CONDITIONS THAT THE HEALTH CARE

9 CORPORATION APPLIES TO THE TREATMENT OF OTHER DISORDERS.

10 HOWEVER, A HEALTH CARE CORPORATION MAY CONFIRM A DIAGNOSIS OR

11 REVIEW THE APPROPRIATENESS OF A SPECIFIC TREATMENT PLAN IN ORDER

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2

1 TO ENSURE THAT COVERAGE UNDER THIS SECTION IS LIMITED TO

2 DIAGNOSTIC AND TREATMENT SERVICES.

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

4 MEANS A NEUROBIOLOGICAL CONDITION THAT INCLUDES AUTISM, ASPERGER

5 SYNDROME, AND RETT'S SYNDROME.

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