Fourth Substitute S.B. 55

Senator Brian E. Shiozawa proposes the following substitute bill:

1 COVERAGE FOR AUTISM SPECTRUM
2 DISORDER
3 2013 GENERAL SESSION
4 STATE OF UTAH
5 Chief Sponsor: Brian E. Shiozawa
6 House Sponsor: Ronda Rudd Menlove
7
8 LONG TITLE
9 General Description:
10 This bill amends the pilot program for autism spectrum disorders services in the
11 Medicaid program.
12 Highlighted Provisions:
13 This bill:
14 . amends the age of the children who may participate in the Medicaid autism
15 treatment pilot program.
16 Money Appropriated in this Bill:
17 This bill appropriates for fiscal year 2013-14:
18 . to Department of Health - Medicaid Optional Services
19 * from General Fund, One-time $1,500,000 to fund autism treatment.
20 Other Special Clauses:
21 None
22 Utah Code Sections Affected:
23 AMENDS:
24 26-18-407, as enacted by Laws of Utah 2012, Chapter 402
25

26 Be it enacted by the Legislature of the state of Utah:
27 Section 1. Section 26-18-407 is amended to read:
28 26-18-407. Medicaid waiver for autism spectrum disorder.
29 (1) For purposes of this section "autism spectrum disorder" means a pervasive
30 developmental disorder as defined by the most recent edition of the Diagnostic and Statistical
31 Manual on Mental Disorders, including:
32 (a) autistic disorder;
33 (b) asperger's disorder; and
34 (c) pervasive developmental disorder not otherwise specified.
35 (2) The department shall, by July 1, 2012, apply for a Medicaid waiver with the
36 Centers for Medicare and Medicaid Services within the United States Department of Health
37 and Human Services to implement an autism spectrum disorders program within the state
38 Medicaid program.
39 (3) The autism spectrum disorders waiver program shall:
40 (a) provide services to children [between the ages of two years and six years] who are
41 at least two years old and less than seven years old with autism spectrum disorders;
42 (b) accept applications for the program during periods of open enrollment;
43 (c) initially provide services for up to 500 children, as funding permits;
44 (d) convene a public process with the Department of Human Services to develop the
45 benefits and services to include in the autism waiver program, including:
46 (i) demonstrated effective treatments;
47 (ii) methods to engage family members in the treatment process; and
48 (iii) outreach to children in rural and underserved areas of the state; and
49 (e) include a mechanism to evaluate the cost, effectiveness, and outcomes of the
50 different services provided as part of the autism waiver program.
51 (4) The department shall report to the Legislature's Health and Human Services Interim
52 Committee by November 30, 2013, and prior to each November 30 thereafter while the waiver
53 is in effect regarding:
54 (a) the number of children diagnosed with autism spectrum disorder and the number of
55 children served under the waiver;
56 (b) success involving families in supporting treatment plans for autistic children;

57 (c) the cost of the autism waiver program; and
58 (d) the outcomes and effectiveness of the services offered by the autism waiver
59 program.
60 Section 2. Appropriation.
61 Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures Act, for
62 the fiscal year beginning July 1, 2013, and ending June 30, 2014, the following sums of money
63 are appropriated from resources not otherwise appropriated, or reduced from amounts
64 previously appropriated, out of the funds or accounts indicated. These sums of money are in
65 addition to any amounts previously appropriated for fiscal year 2014.
66 To Department of Health - Medicaid Optional Services
67 From General Fund, One-time $1,500,000
68 Schedule of Programs:
69 Other Optional Services $1,500,000

[Bill Documents]