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Utah
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Summary of Autism Insurance Reform Bill in Utah
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Requires private health insurance companies to provide coverage for the diagnosis and treatment of autism spectrum disorder
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Coverage will be provided to individuals under the age of 17
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Coverage under this bill is subject to an maximum benefit of $50,000 annually for a child who is less than 9 years old and a maximum benefit of $25,000 annually for a child who is between 9 and 17 years old
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Coverage provided for treatment of autism spectrum disorders, defined as any treatment generally accepted by the medical community or the American Academy of Pediatrics as an effective treatment for children with autism
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The bill includes coverage of the following treatments: Habilitative or rehabilitative care, Early intensive behavior therapy, Pharmacy care, Psychiatric care, Psychological care, Therapeutic care, Occupational therapy, and Speech therapy
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The bill applies only to fully-funded health plans governed by state
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If passed the bill will go into effect on July 1, 2010
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Utah News
Autism Speaks Opposes Changes to Clay's Law
(February 27, 2009) - Autism Speaks has learned that critical elements have been stripped from Clay's Law (Senate Bill 43) that will cause the bill to be an ineffective mandated offering, rather than the autism insurance reform that families in Utah so desperately need. Mandated offering laws do not require (or mandate) benefits be provided at all. Unfortunately, these changes are disappointing and have forced Autism Speaks to oppose SB 43.
We continue to believe that families dealing with the financial burdens of autism deserve to have insurance coverage for the medically necessary, evidence-based autism therapies that their children need to live fulfilling lives. We are so thankful to the families and advocates in the Utah autism community that commited countless hours to this effort.
We will continue to keep all Utah Autism Advocates posted on the progress of autism insurance reform across the country.
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