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Summary of 2012 Vermont Autism Insurance Reform Expansion Bills

H. 736 - Sponsored by Representative Jason Lorber (D-Burlington); S.223 - Sponsored by Senator Anthony Pollina (D-North Middlesex)
February 01, 2012
  • Expands the age cap by requiring state regulated private health insurance plans to provide coverage of the diagnosis and treatment of autism spectrum disorders for individuals between the ages 6 and 22 (H.736). S.223 would eliminate any age cap 
  • Expands the 2010 law to require that Medicaid, the Vermont health access plan, and any other public health care assistance program provide coverage for the diagnosis and treatment of autism between the ages of 18 months and 6, or the first grade, whichever occurs first
  • Expands the definition of autism treatments to include behavioral health treatment - meaning professional guidance services and treatment programs, including applied behavior analysis provided or supervised by a nationally board-certified behavior analyst, that are necessary to develop, maintain, and restore to the maximum possible extent an individual's functioning