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Summary of 2012 Kansas Autism Insurance Reform Bill:

HB.2764 - Introduced in the House Federal and State Affairs Committee
February 23, 2012

The bill would:

  • Require state-regulated health insurance group policies to provide coverage of the screening, diagnosis and treatment of autism spectrum disorders through age 18
  • Direct that coverage of treatments include evidence-based care prescribed by a licensed physician or licensed psychologist who determines that the treatment is medically necessary, including but not limited to behavioral health treatment, including applied behavioral analysis (ABA) up to $36,000 per year up to age 7 and then $27,000 annually through age 18
  • Not affect any obligation to provide services to an individual under an individualized family service plan, an individualized education program (IEP), or an individualized services plan
  • Apply only to state-regulated insurance plans; they do not apply to self-funded insurance plans which are regulated by the federal government under ERISA law
  • Apply to health plans issued or renewed in Iowa after July 1, 2012