HOUSE BILL No. 5527

 

December 4, 2007, Introduced by Reps. Angerer, Shaffer, Spade, Tobocman, Espinoza, Johnson, Byrnes, Vagnozzi, Wojno, Kathleen Law, Hopgood, Polidori, Corriveau and Dean and referred to the Committee on Health Policy.

 

     A bill to amend 1980 PA 350, entitled

 

"The nonprofit health care corporation reform act,"

 

(MCL 550.1101 to 550.1704) by adding section 416e.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 416e. (1) A health care corporation group or nongroup

 

certificate shall provide coverage for the treatment of autism

 

spectrum disorder, including, but not limited to, coverage for

 

therapeutic evaluations and interventions, speech therapy,

 

occupational therapy, physical therapy, intensive early

 

intervention, applied behavioral analysis, and Lovaas behavioral

 

therapy.

 

     (2) Coverage for autism spectrum disorder under this section

 

is subject to the same terms and conditions that the health care


 

corporation applies to the treatment of other disorders. However, a

 

health care corporation may confirm a diagnosis or review the

 

appropriateness of a specific treatment plan in order to ensure

 

that coverage under this section is limited to diagnostic and

 

treatment services.

 

     (3) As used in this section, "autism spectrum disorder" means

 

a neurobiological condition that includes autism, Asperger

 

syndrome, and Rett's syndrome.