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Oregon
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Oregon Autism News:
February 14 Update
'Health insurance coverage for autism receives Senate hearing:' Oregon Capitol News
SALEM, OR -- "A bill establishing requirements for health insurance coverage of autism spectrum disorders received a public hearing during the Senate Health Care, Human Services and Rural Health Policy Committee’s Friday meeting." Read more here.
Autism Speaks Announces First State Autism Insurance Bill Endorsement Of 2011
Oregon HB 2214/SB 555 Would End Health Care Discrimination Against Children with Autism by Requiring Coverage of Diagnosis and Treatment
NEW YORK, NY (January 10, 2011) – Autism Speaks, the nation’s largest autism advocacy organization, today announced its support for House Bill 2214/Senate Bill 555, the autism insurance reform bill. Read more
Autism Speaks Endorses Oregon Autism Insurance Reform Bill (March 31, 2009)
Summary of 2012 Oregon Autism Insurance Reform Bills:
House Bill 2214 - Sponsored by State Representatives Peter Buckley (District 5) and Jim Thompson (District 23)
Senate Bill 555 - Sponsored by State Senators Chris Edwards (District 7) and Suzanne Bonamici (District 17)
The bills would:
- require providers of state-regulated insurance plans to provide coverage for the diagnosis and treatment of individuals with autism spectrum disorders who are under the age of 18
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place no dollar cap on the annual benefit, although the Senate’s version of the bill as amended would limit ABA therapy to children under age 11, up to a maximum of 87 hours per month
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require health insurance providers cover all tests, assessments, and evaluations that are necessary to diagnose autism spectrum disorder including neuropsychological evaluations, genetic testing, and other tests required for accurate diagnosis
- require coverage, following a determination of medical necessity by a licensed physician or psychologist, to include:
- habilitative or rehabilitative care necessary to develop, improve, maintain, and restore to the maximum possible extent an individual’s functioning, including professional counseling and treatment programs such as applied behavior analysis (ABA), developmental approaches, and other behavioral health treatments
- pharmacy care
- psychiatric care
- psychological care
- therapeutic care, which is defined as services provided by licensed or certified speech language pathologists, occupational therapists, or physical therapists
- augmentative communication devices and other assistive technology devices
- coordination of care services
- other care deemed medically necessary and that meets the standards of evidence required for coverage of other prevailing medical or surgical treatments
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Bill History:
June 2011: SB 555 fails to receive consideration in Joint Ways and Means Committee; legislative session ends.
May 5, 2011: SB 555 passes Senate Health Committee unanimously with amendments and is referred to Joint Ways and Means Committee.
February 16, 2011: Hearing on SB 555 in Senate Committee on Health Care, Human Services and Rural Health Policy. No vote is held.
February 7, 2011: Hearing on HB 2214 in House Health Care Committee. No vote is held.
January 10, 2011: Autism insurance reform bill, HB 2214/SB 555, introduced.
No 2010 legislative session.
June 2009: Oregon state legislative session ends without passage of HB 3000.
May 1, 2009: HB 3000 referred to the Rules Committee by order of the House Speaker.
April 8, 2009: House Health Care Committee holds hearing on HB 3000. No vote is held.
March 9, 2009: HB 3000 referred to the House Health Care Committee.
March 3, 2009: Autism insurance reform bill, House Bill 3000, introduced by Representative Peter Buckley.
Helpful Links:
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