Iowa

Iowa Autism News:

Video: Families Fight for Health Care for Autistic Children - WHOTV (NBC), March 26, 2009

 

Featured Iowa Headlines:

Autism Speaks Endorses Iowa Autism Insurance Reform Bill (February 19, 2009)


Summary of the Autism Insurance Reform Bill:

Senate File 1 - Sponsored by Senator Daryl Beall (D-25)

House File 1 - Sponsored by Representative Ray S. Zirkelbach (D-31)

  • Requires private health insurance companies to provide coverage for the diagnosis and treatment of autism spectrum disorder

  • Coverage will be provided to individuals under the age of 21

  • Coverage under this bill is subject to an inflation adjusted maximum benefit of $36,000 annually

  • Coverage of treatments will be provided  when prescribed, provided, or ordered for an individual diagnosed with autism by a licensed physician, a licensed psychologist, a licensed social worker, or a licensed registered nurse practitioner who determines the care to be medically necessary

  • The bill includes coverage of the following treatments: Diagnosis, Habilitative or rehabilitative care, Pharmacy care, Psychiatric care, Psychological care, Therapeutic care, Applied Behavior Analysis (ABA)

  • Small businesses (employers with 50 or fewer employees) may "opt out" of providing this coverage

  • The bill calls for the commissioner, in consultation with the board of medicine, to adopt rules providing for the certification of behavior specialists

  • The bill applies only to fully-funded group health plans governed by state law

  • If passed, these bills will go into effect on January 1, 2010

 

 

Bill History:

May 1, 2009: 2009 legislative session ends without passage of HF 1 /SF 1.  Get ready Iowa, because we will be back next year to get these bills passed!

January 12, 2009: Autism insurance reform bill, House File 1, introduced in the Iowa House by State Representative Ray S. Zirkelbach. The bill is referred to the House Human Resources Committee.

January 12, 2009: Autism insurance reform bill, Senate File 1, introduced in the Iowa State Senate by State Sneator Daryl Beall.  The bill is referred to the Senate Commerce Committee. 


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