HB 1122-1_ Filed 03/29/2001, 08:46
Adopted 3/29/2001

COMMITTEE REPORT

MR. PRESIDENT:

    The Senate Committee on Health and Provider Services, to which was referred House Bill No. 1122, has had the same under consideration and begs leave to report the same back to the Senate with the recommendation that said bill be AMENDED as follows:

SOURCE: Page 2, line 2; (01)CR112201.2. -->     Page 2, line 2, after "disorder." insert " Coverage provided under this section is limited to treatment that is prescribed by the covered individual's treating physician in accordance with a treatment plan. A self-insurance program may not deny or refuse to issue coverage on, refuse to contract with, or refuse to renew, refuse to reissue, or otherwise terminate or restrict coverage on, an individual under an insurance policy or health plan solely because the individual is diagnosed with a pervasive developmental disorder.".
    Page 2, line 6, after "disorder." insert " Services provided under this section are limited to treatment that is prescribed by the covered individual's treating physician in accordance with a treatment plan. A prepaid health care delivery plan may not deny or refuse to provide services to, or refuse to renew, refuse to reissue, or otherwise terminate or restrict services to, an individual solely because the individual is diagnosed with a pervasive developmental disorder.".
    Page 2, between lines 6 and 7, begin a new paragraph and insert:
    " (e) The coverage required by subsection (c) and services required by subsection (d) for the treatment of a pervasive developmental disorder by means of educational services may be

limited to six thousand dollars ($6,000) annually. This limitation does not apply to coverage of medical services or services including speech therapy, physical therapy, or occupational therapy.
     (f) A self-insurance program or a prepaid health care delivery plan may limit educational services provided to a covered individual under this section for the treatment of a pervasive developmental disorder to a covered individual who is not more than seven (7) years of age.".
    Page 2, line 7, delete "(e)" and insert " (g)".
    Page 3, line 5, after "4." insert " (a)".
    Page 3, line 7, after "insured." insert " Coverage provided under this section is limited to treatment that is prescribed by the insured's treating physician in accordance with a treatment plan. An insurer may not deny or refuse to issue coverage on, refuse to contract with, or refuse to renew, refuse to reissue, or otherwise terminate or restrict coverage on an individual under an insurance policy or health plan solely because the individual is diagnosed with a pervasive developmental disorder.".
    Page 3, between lines 7 and 8, begin a new paragraph and insert:
    " (b) The coverage required under this section for the treatment of a pervasive developmental disorder by means of educational services may be limited to six thousand dollars ($6,000) annually. This limitation does not apply to coverage of medical services including speech therapy, physical therapy, or occupational therapy.
     (c) An insurer may limit educational services provided to an insured under this section for the treatment of a pervasive developmental disorder to an insured who is not more than seven (7) years of age.".
    Page 3, line 15, delete "chapter" and insert " section".
    Page 3, line 22, after "enrollee." insert " Services provided to an enrollee under this section are limited to services that are prescribed by the enrollee's treating physician in accordance with a treatment plan. A health maintenance organization may not deny or refuse to provide services to, or refuse to renew, refuse to reissue, or otherwise terminate or restrict services to, an individual solely because the individual is diagnosed with a pervasive developmental disorder.".


    Page 3, between lines 22 and 23, begin a new paragraph and insert:
    " (c) The services required under this section for the treatment of a pervasive developmental disorder by means of educational services may be limited to six thousand dollars ($6,000) annually. This limitation does not apply to medical services including speech therapy, physical therapy, or occupational therapy.
     (d) A health maintenance organization may limit educational services provided to an enrollee under this section for the treatment of a pervasive developmental disorder to an enrollee who is not more than seven (7) years of age.".
    Page 3, line 23, delete "(c)" and insert " (e)".
    (Reference is to HB 1122 as printed February 27, 2001.)

and when so amended that said bill be reassigned to the Senate Committee on Finance.

Committee Vote: Yeas 6, Nays 1.

____________________________________

    Miller
Chairperson


CR112201/DI 104    2001