Requires health insurers to provide full coverage for the prevention, early detection, diagnosis and treatment of autism spectrum disorder; establishes an advisory panel on health insurance coverage for autism spectrum disorder to annually compile a list of treatments and therapy options for which health insurers will be required to provide coverage; establishes a toll-free, 24 hour a day, autism and health insurance coverage hotline to receive and act upon complaints and questions from families with autistic children, relating to insurance coverage for autism spectrum disorder.
Summary
Bill S04174 aims to amend the insurance law in New York to ensure that health insurers provide full coverage for the prevention, early detection, diagnosis, and treatment of autism spectrum disorder (ASD). The bill establishes an advisory panel composed of experts who will compile an annual list of treatment and therapy options that must be covered by insurers. Additionally, the bill mandates the creation of a toll-free hotline to assist families with autistic children in navigating insurance coverage issues related to ASD.
Impact
If enacted, this bill will significantly enhance the health insurance coverage available for individuals diagnosed with autism spectrum disorder in New York. It will require insurers to include comprehensive coverage for a range of treatments and therapies, thereby reducing financial barriers for families seeking necessary care. The establishment of the advisory panel and the hotline will provide ongoing support and oversight to ensure compliance with these coverage requirements.
Sentiment
The sentiment surrounding Bill S04174 appears to be largely positive, with advocates emphasizing the need for improved access to autism-related healthcare services. However, there may be concerns from some insurance providers regarding the potential financial implications of mandated coverage expansions.
Contention
Notable points of contention may arise from insurance companies that could be concerned about the increased costs associated with providing full coverage for autism treatments. Advocates for autism awareness and families affected by ASD are likely to support the bill, arguing that it is essential for ensuring equitable access to necessary healthcare services.
Human services: medical services; coverage for diagnosis of autism spectrum disorders and treatment of autism spectrum disorders; require. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109u.
A bill for an act relating to insurance coverage for covered individuals for the treatment of autism spectrum disorder and including applicability provisions.(See HF 330.)