Assembly Bill A8512

Signed By Governor
2011-2012 Legislative Session

Relates to coverage for the screening, diagnosis and treatment of autism spectrum disorder

download bill text pdf

Sponsored By

Archive: Last Bill Status Via S5845 - Signed by Governor


  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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2011-A8512 (ACTIVE) - Details

See Senate Version of this Bill:
S5845
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L; amd §5, Chap of 2011 (as proposed in S. 4005-A/A. 6305-A)

2011-A8512 (ACTIVE) - Summary

Relates to coverage for the screening, diagnosis and treatment of autism spectrum disorder.

2011-A8512 (ACTIVE) - Bill Text download pdf

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  8512

                       2011-2012 Regular Sessions

                          I N  A S S E M B L Y

                              June 22, 2011
                               ___________

Introduced  by M. of A. MORELLE -- read once and referred to the Commit-
  tee on Insurance

AN ACT to amend the insurance law,  in  relation  to  coverage  for  the
  screening, diagnosis and treatment of autism spectrum disorder; and to
  amend  a chapter of the laws of 2011 amending the insurance law relat-
  ing to coverage for the screening, diagnosis and treatment  of  autism
  spectrum  disorder,  as proposed in legislative bill numbers S. 4005-A
  and A. 6305-A, in relation to the effectiveness of such chapter

  THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Subparagraphs (B) and (C) of paragraph 25 of subsection (i)
of  section 3216 of the insurance law, as added by a chapter of the laws
of 2011 amending the insurance law relating to coverage for the  screen-
ing, diagnosis and treatment of autism spectrum disorder, as proposed in
legislative bill numbers S. 4005-A and A. 6305-A, are amended to read as
follows:
  (B)  Every  policy  which  provides physician services, medical, major
medical or similar comprehensive-type coverage  shall  provide  coverage
for  the  screening, diagnosis and treatment of autism spectrum disorder
in accordance with this paragraph and shall not exclude coverage for the
screening,  diagnosis  or  treatment  of  medical  conditions  otherwise
covered  by  the  policy because the individual is diagnosed with autism
spectrum disorder. Such coverage may be subject to  annual  deductibles,
copayments  and  coinsurance  as may be deemed appropriate by the super-
intendent and shall be consistent with those imposed on  other  benefits
under  the  policy.    COVERAGE  FOR  APPLIED BEHAVIOR ANALYSIS SHALL BE
SUBJECT TO A MAXIMUM BENEFIT OF FORTY-FIVE THOUSAND DOLLARS PER YEAR PER
COVERED INDIVIDUAL AND SUCH MAXIMUM ANNUAL BENEFIT WILL INCREASE BY  THE
AMOUNT  CALCULATED FROM THE AVERAGE TEN YEAR ROLLING AVERAGE INCREASE OF
THE MEDICAL COMPONENT OF THE CONSUMER PRICE INDEX. This paragraph  shall
not  be  construed as limiting the benefits that are otherwise available

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD12076-04-1
              

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