UPDATE on HB159 (11/2010)
Autism Insurance Bill that was signed into law this past April
The new autism insurance mandate begins January 1, 2011 for fully funded plans. Self insured plans are not included. Please check with your employer. A good explanation of the difference between the plans can be found in the autism insurance bill document [PDF].
Three Major Highlights:
- Age and Dollar Caps
- Ages 1-7th birthday – up to a maximum of $50,000 per year of coverage per individual under large group health benefit plans.
- Ages 7-21 – up to a maximum of $1,000/per month of coverage per individual under large group health benefit plans.
- Ages 1-21 – up to a maximum of $1,000/ per month of coverage per individual under small group and individual health benefit plans.
- Types of Coverage
Treatment for autism spectrum disorders includes the following care for an individual diagnosed with any of the autism spectrum disorders:
- Medical care;
- Habilitative or rehabilitative care;
- Pharmacy care, if covered by the plan;
- Psychiatric care;
- Psychological care;
- Therapeutic care; and
- Applied behavior analysis prescribed or ordered by a licensed health or allied health professional.
- KY ABA Licensing Board
HB159 also included the establishment of the newly formed Kentucky Applied Behavior Analysis Licensing Board. The board consists of seven (7) members recently appointed by the Governor. They are:
- Scott Brinkman and Anne Gregory – representing parents
- David Bicard, Shelli Deskins, Edward Parker, and Nicholas Weatherly – representing Behavior Analysts
- Stanley Bittman – representing Psychologists
The board's current focus is to write the state regulations for behavior analysts to be licensed to practice Applied Behavior Analysis in KY. They have met once and will be meeting Monday, November 22, 2010 in Frankfort. Meetings are open to the public if you are interested in attending.
Please refer to the unofficial copy of the insurance bill for more information.