February 5, 2009, Introduced by Reps. Ball, Angerer and Terry Brown 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 3406s.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 3406s. (1) An expense-incurred hospital, medical, or
surgical policy or certificate delivered, issued for delivery, or
renewed in this state and a health maintenance organization
contract shall provide coverage for the treatment of autism
spectrum disorder, including, but not limited to, coverage for
therapeutic evaluations and interventions, speech therapy,
occupational therapy, physical therapy, intensive early
intervention, applied behavioral analysis, and Lovaas behavioral
therapy.
(2) Coverage for autism spectrum disorder under this section
is subject to the same terms and conditions that the insurer or
health maintenance organization applies to the treatment of other
disorders. However, an insurer or health maintenance organization
may confirm a diagnosis or review the appropriateness of a specific
treatment plan in order to insure that coverage under this section
is limited to diagnostic and treatment services.
(3) As used in this section, "autism spectrum disorder" means
a neurobiological condition that includes autism, Asperger
syndrome, and Rett's syndrome.