Sunday, June 19, 2011

N.Y. lawmakers pass autism treatment insurance bill | SILive.com

ALBANY, N.Y. -- State lawmakers passed legislation today that would require New York insurers to cover screening, diagnosis and treatment for autism spectrum disorders.

That would include routine toddler screenings, behavioral health treatments, speech therapy, occupational therapy and physical therapy, sponsors said. While Medicaid is the main reimbursement source and some services are provided in public schools, they said many parents struggle to pay treatment that still costs them thousands of dollars annually.

"Thousands of families throughout the state are facing critical choices between providing quality care for children and adults with autism or jeopardizing their finances," said Senate Majority Leader Dean Skelos, a Long Island Republican.

Autism spectrum disorders impair thinking, feeling, speaking and the ability to relate to others and range in severity. An estimated one of every 110 children in the United States is affected, more commonly boys.

"Families that need help paying medical bills for their loved ones can finally get the coverage they deserve," said Sen. Roy McDonald, a Saratoga County Republican. He has two grandchildren with autism.

Lawmakers said the bill prohibits insurers from terminating or refusing to execute a policy solely because someone has been diagnosed and received treatment for autism spectrum disorders. If signed into law, New York would follow 25 other states with similar measures.

Gov. Andrew Cuomo is reviewing the bill, spokesman Josh Vlasto said.

Last year, Gov. David Paterson vetoed a similar measure, estimating it would increase state and municipal insurance costs $70 million annually, including higher health insurance premiums.

In a bill memo, Assemblyman Joseph Morelle said the legislation provides that coverage may be subject to annual deductibles, copayments and coinsurance consistent with terms imposed on other benefits under an insurance contract. Also, the Assembly Insurance Committee chairman said it "shall not be construed" as limiting the benefits that are available to an individual under an insurance policy, though coverage may be subject to utilization and external review of services.

Source: http://www.silive.com/news/index.ssf/2011/06/ny_lawmakers_pass_autism_treat.html

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