Friday, November 14, 2014

Did you know that TEXAS-REGULATED Health Plans MUST offer autism treatment benefits?

Smart -  I met a family that is buying a separate policy for thier child from UHC or Humana since their  out-of-state plan will not cover autism treatment.

The cheaper plan may not be less expensive at the end of the year.

 - JR

Perry Expands Autism Insurance Benefits in Texas

AUSTIN (June 15, 2013) -- Gov. Rick Perry has signed a bill expanding autism insurance benefits in Texas by eliminating any age caps for state-regulated health plans......expanding autism insurance benefits in Texas by eliminating any age caps for state-regulated health plans. In 2007, Perry signed legislation that made Texas just the third state nationally to enact autism insurance reform, then in 2009 signed another bill that raised the age cap from 5 to 9.

The new law eliminates the age 9 cap, but limits annual ABA benefits to $36,000 a year for children aged 10 and above. Under current law, state-regulated health plans are required to cover the diagnosis and treatment of autism, including behavioral health treatment, such as Applied Behavior Analysis (ABA), as well as speech, occupational and physical therapy.
Perry signed the bill without comment at the conclusion of the state's regular legislative session.
Sponsored by Senators Kirk Watson of Austin, Wendy Davis of Forth Worth and Eddie Lucio, Jr. of Brownsville, SB.1484 will take effect in September. To qualify for the extended coverage, children must be diagnosed with autism by the age of 10 to gain the coverage.
The House champions for the bill included Rep. Larry Gonzales of Round Rock, Rep. Ron Simmons of Carrollton, and Rep. Senfronia Thompson of Houston.
Texas is one of four states with existing autism insurance reform laws that has considered bills to expand coverage this year.

No comments: