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Summary of 2010 Kansas Autism Insurance Reform Law:

Senate Substitute House Bill 2160 - Introduced by the LEPC
April 20, 2010

The enacted bill:

  • Creates a "test track" for autism insurance reform by requiring the state employee health plan to provide coverage for the diagnosis and treatment of autism spectrum disorder
  • Includes an annual cap on treatments for children with autism spectrum disorder (ASD) that are enrolled in the health insurance plan for state employees of $36,000 up to age 7, and $27,000 between ages 7 and 19
  • Provides coverage of treatments when prescribed, provided, or ordered for an individual diagnosed with autism by a licensed physician or a licensed psychologist who determines the care to be medically necessary
  • Includes coverage of the following treatments: Diagnosis, Habilitative or rehabilitative care, Pharmacy care, Psychiatric care, Psychological care, Therapeutic care, Applied Behavior Analysis (ABA)
  • Applies only to those covered under the state employees health insurance plan