With the recent passage of the Health Care Education and Affordability Reconciliation Act of 2010 – along with the reconciliation bill – many people are wondering what this means for families dealing with autism. You may also be wondering if the pending Michigan autism insurance legislation is still necessary? The answer is yes.
While the passage of healthcare reform could result in improved access to care for individuals with autism and their families, the bill still falls short of eliminating the discrimination of coverage for medically necessary autism treatments. Behavioral health treatment is included as part of the essential health benefits package required in certain health plans, though not most health plans. The reconciliation bill will require the following health plans to offer at least the essential benefits package: (1) plans offered by state-based exchanges, through which individuals and small businesses can purchase coverage; and (2) plans offered in the individual and small group markets outside the exchange. Therefore, while some families affected by autism will be able to receive health insurance coverage for behavioral health treatments, the majority of families will remain without this crucial coverage.
Dedicated to promoting Autism Insurance in Michigan through networking and legislative reform.
AIM BIO:
AIM is comprised of over 3000 residents of Michigan who have pledged their support in passing the autism insurance legislation in Michigan. The sole aim of AIM is to pass autism insurance legislation in Michigan with the help of those 3000+ members.
AIM Position Statement
It is our position that
1) legislation should be passed in the state of Michigan that will require insurance companies to cover diagnosis, treatment, and services for all people wiht Autism Spectrum Disorders (ASD).
2) all people with ASD should be covered, regardless of age.
3) Autism Spectrum Disorder is defined as any of the pervasive developmental disorders as defined by the most recent edition of the DSM.
4) this coverage should include treatments as prescribed or ordered by the insured's treating physician or psychologist and that no insurer may deny coverage for an individual based solely on the fact that the individual is diagnosed with an ASD.
5) covered treatments shall not be subject to visit limits.
6) there should be a provision for an expedited arbitration process if an insurance company denies coverage or changes coverage status.
7) coverage should not be construed as limiting access to benefits or other services that are otherwise available to an individual.
2) all people with ASD should be covered, regardless of age.
3) Autism Spectrum Disorder is defined as any of the pervasive developmental disorders as defined by the most recent edition of the DSM.
4) this coverage should include treatments as prescribed or ordered by the insured's treating physician or psychologist and that no insurer may deny coverage for an individual based solely on the fact that the individual is diagnosed with an ASD.
5) covered treatments shall not be subject to visit limits.
6) there should be a provision for an expedited arbitration process if an insurance company denies coverage or changes coverage status.
7) coverage should not be construed as limiting access to benefits or other services that are otherwise available to an individual.
List of Supporting Organizations as of 4/23/10
ACT Network |
Ann Arbor Families for Autistic Children's Education and Support |
Autism Advisory Group
|
Autism Insurance in Michigan (AIM) |
Autism Resource Network |
Autism Society of America |
Autism Society of America - Oakland County Chapter |
Autism Society of Washtenaw County |
Autism Society of WestShore |
Autism SpeaksAutism Alliance of Michigan |
Beaumont Hospitals |
Behavior Analysts Association of Michigan
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Detroit Medical Center
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Early InterventionCenter |
Easter Seals |
Elder Disability Rights Association Section of the State Bar of Michigan |
Family Chiropractic Clinic |
First Capital Directories |
Forestview Lanes |
Fravel Financial Services |
GFWC Madison Heights Intermediate Womens Club |
Glenn Buege Chevrolet |
Henry Ford Health System |
HOPE Network
|
Kaufman Children's Center for Speech, Language, Sensory-Motor & Social Connections, Inc. |
Michael James Associates |
Michigan Association of Elementary and Middle School Principals |
Michigan Association of IntermediateSchool Administrators |
Michigan Association of School Administrators |
Michigan Association of School Boards |
Michigan Association of School Psychologists |
Michigan Association of School Social Workers |
Michigan Council for Maternal and Child Health |
Michigan Nurses Association |
Michigan Pharmacists Association |
Michigan PTA |
Michigan Secondary School Principals Association |
Michigan Speech Language Hearing Association |
Middle Cities Education Association |
Monroe IntermediateSchool District |
National Alliance on Mental Illness - Michigan Chapter (member of Partners for Parity) |
National Council of Jewish Women, Greater Detroit Section
|
The Abilities Center |
The Ann Arbor Center for Developmental & Behavioral Pediatrics
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Traverse Bay Area Intermediate School District
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