Relates to coverage for the screening, diagnosis and treatment of autism spectrum disorder

2 Co-sponsors

• Tony Avella
• Rich Funke

BILL NUMBER:S3664

Title of bill

An act to amend the insurance law, in relation to coverage for the screening, diagnosis and treatment of autism spectrum disorder

Purpose or general idea of bill

To delete the provisions that limit the coverage for applied behavior analysis to a maximum of forty-five thousand dollars per year.

Summary of specific provisions

Section 1 of the bill amends insurance law section 3216 (1) (25) (3), as amended by chapter 596 of the laws of 2011, to delete the limitation on coverage for applied behavior analysis to a maximum benefit of forty-five thousand dollars per year.

Section 2 of the bill amends insurance law section 3221 (1) (12) (B)., as amended by chapter 596 of the laws of 2011, to delete the aforementioned provision.

Section 3 of the bill amends insurance law section 4303 (ee) (2), as amended by chapter 596 of the laws of 2011, to delete the aforementioned provision.

Section 4 of the bill is the effective date.

Justification

Autism is the fastest growing disabling disorder affecting American children. Research demonstrates that early diagnosis and treatment of autism spectrum disorders is essential and should be provided as soon as possible without interruption. Delay or interruption of treatment may cause irreversible affects. This legislation will relieve families from the burden of the high cost of applied behavior analysis treatment as prescribed by a licensed physician or psychologist for the treatment of autism spectrum disorder.

Prior legislative history

A.8912, 2012 referred to Insurance. S 3974 Referred to Insurance

Fiscal implications

The cost implications have not been fully determined. The treatment of autism spectrum disorders will result in better long-term health outcomes for those diagnosed with this condition and should therefore lessen costs which are borne by taxpayers.

Effective date

Immediately.