S.B.
43
INSURANCE COVERAGE FOR AUTISM SPECTRUM DISORDERS - CLAY'S LAW
senate floor
Amendments
Amendment 3 February 26, 2009 3:00 pm
Senator Howard A. Stephenson
proposes the following amendments:
1. Page
1, Lines 10 through 11
Senate Committee Amendments
2-13-2009
:
10
This bill amends the Accident and Health Insurance part of the Insurance Code to
11
{
provide
}
require an insurer that provides a health benefit plan to offer
coverage for treatment
of autism spectrum disorders.
2. Page
1, Lines 15 through 16
Senate Committee Amendments
2-13-2009
:
15
. requires that S. [an accident or health insurance policy that provides a health insurance
16
benefit]
an insurer that provides
a health benefit plan .S shall
{
provide
}
offer
coverage for
treatment of autism spectrum disorders;
3. Page
1, Line 19
Senate Committee Amendments
2-13-2009
:
19
required
{
by
}
to be offered under
this bill; and
4. Page
1, Lines 24 through 25
Senate Committee Amendments
2-13-2009
:
24
Other Special Clauses:
25
{
None
}
This bill coordinates with H.B. 188 by providing substantive amendments.
5. Page
3, Lines 59 through 64
:
59
(2) S. [An accident or health insurance policy that provides a health insurance benefit]
{
A
}
An
insurer that provides a
59a
health benefit plan .S shall
60
{
provide
}
offer
coverage for treatment of autism spectrum disorders in accordance with the
61
requirements of this section and rules made by the commissioner under this section.
62
(3) The commissioner shall make rules, in accordance with Title 63G, Chapter 3, Utah
63
Administrative Rulemaking Act, that set minimum standards
{
of
}
for the
coverage
, described in
this bill,
for the treatment of
64
autism spectrum disorders.
6. Page
3, Lines 69 through 71
Senate Committee Amendments
2-13-2009
:
69
(5) Subject to Subsection (6), S. [an accident or health insurance policy that provides a
70
health insurance benefit]
{
a
}
an insurer that offers a
health benefit plan .S shall
{
provide
}
offer
coverage for the provision of early
70a
intensive behavior
71
therapy for a person with an autism spectrum disorder of at least:
7. Page
3, Lines 72 through 74
Senate Committee Amendments
2-13-2009
:
72
(a)
{
$50,000
}
$35,000
annually for a child who is less than nine years old; and
73
(b)
{
$25,000
}
$17,500
annually for a child who is at least nine years old, but less than 17
years
74
old.
8. Page
3, Line 78
:
After line 78 insert:
"Section 2. Coordinating S.B. 43 with H.B. 188 -- Substantive
amendments.
If this S.B. 43 and H.B. 188, Health System Reform - Insurance
Market, both pass, it is the intent of the Legislature that the Office
of Legislative Research and General Counsel shall prepare the
Utah Code database for publication by:
(1) amending Subsection 31A-22-724(3)(b)(vi) to read as follows:
"(vi) coverage mandates enacted after January 1, 2009, except:
(A) coverage mandates that are required by federal law; and
(B) the insurance mandate related to autism spectrum disorders,
described in Section 31A-22-636."; and
(2) amending Subsection 31A-30-109(1)(b)(ii) to read as follows:
"(ii) excludes some or all of the mandates described in Subsection
31A-22-724(3), except for the mandate related to autism spectrum
disorders, described in Section 31A-22-636."."
Page 1 of 2
sb0043.sfa.03.wpd
LRGC
TomVaughn
TomVaughn