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House Bill 1919 |
House Author: Smith, Todd |
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Effective: 9-1-07 |
Senate Sponsor: Van de Putte et al. |
Previous law prohibited a health benefit plan from excluding coverage for testing, treatment, rehabilitation, and reintegration services in connection with an acquired brain injury. House Bill 1919 amends the Insurance Code to require a plan, other than a small employer health benefit plan, to include coverage for such services. The bill requires the plan issuer annually to notify each insured or enrollee of the plan about that coverage, sets out requirements for determining the medical necessity of the coverage, and prohibits denial of coverage solely on the grounds that the treatment or services are provided at a facility other than a hospital. The bill requires the commissioner of insurance to prepare information about recommended coverage for acquired brain injuries for use by consumers and insureds. In addition, the bill requires a health benefit plan to provide coverage for certain children with autism spectrum disorder.