February 13, 2001
HOUSE BILL No. 1136
_____
DIGEST OF HB 1136
(Updated February 12, 2001 1:09 PM - DI 98)
Citations Affected: IC 5-10; noncode.
Synopsis: State health plan coverage for autism. Defines "pervasive
developmental disorder", including Asperger's syndrome and autism,
as a neurological condition for purposes of coverage under group
insurance for state employees. Requires that group insurance for state
employees must provide coverage for treatment of a pervasive
developmental disorder of an individual covered under the plan. (The
introduced version of this bill was prepared by the Indiana commission
on autism.)
Effective: July 1, 2001.
January 9, 2001, read first time and referred to Committee on Human Affairs.
February 12, 2001, reported _ Do Pass.
February 13, 2001
First Regular Session 112th General Assembly (2001)
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HOUSE BILL No. 1136
A BILL FOR AN ACT to amend the Indiana Code concerning state
and local administration.
Be it enacted by the General Assembly of the State of Indiana:
SOURCE: IC 5-10-8-7.1; (01)HB1136.1.1. -->
SECTION 1.
IC 5-10-8-7.1
IS ADDED TO THE INDIANA CODE
AS A
NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
1, 2001]:
Sec. 7.1. (a) As used in this section, "covered individual"
means an individual who is:
(1) covered under a self-insurance program established under
section 7(b) of this chapter to provide group health coverage;
or
(2) entitled to health services under a contract with a prepaid
health care delivery plan that is entered into or renewed
under section 7(c) of this chapter.
(b) As used in this section, "pervasive developmental disorder"
means a neurological condition, including Asperger's syndrome
and autism, as defined in the most recent edition of the Diagnostic
and Statistical Manual of Mental Disorders of the American
Psychiatric Association.
(c) A self-insurance program established under section 7(b) of
this chapter to provide health care coverage must provide a
covered individual with coverage for the treatment of a pervasive
developmental disorder.
(d) A contract with a prepaid health care delivery plan that is
entered into or renewed under section 7(c) of this chapter must
provide a covered individual with services for the treatment of a
pervasive developmental disorder.
(e) The coverage required by subsection (c) and services
required by subsection (d) may not be subject to dollar limits,
deductibles, copayments, or coinsurance provisions that are less
favorable to a covered individual than the dollar limits,
deductibles, copayments, or coinsurance provisions applying to
physical illness generally under the self-insurance program or
contract with a prepaid health care delivery plan.