Dear Laura:
I am writing in answer to your questions to Rhonda about SB 178, authored by Sen. Judy Robson, relating to autism services in health insurance plans.
1. My family has health insurance through Unity, which is based out of Sauk City. We have a PPO. It is a group plan through my husband's
workplace. Will we have coverage through this proposed legislation?
Yes. The bill requires that the coverage to applies to both individual and group health insurance policies and plans, including defined network plans and cooperative sickness care associations, to health care plans offered by the state to its employees, including self-insured plans and to self-insured plans of counties, cities towns, villages and school districts.
2. What exactly does the bill by Senator Robson call for?
The bill requires all health insurance policies and plans to cover the cost of treatment for autism, Asperger's syndrome and pervasive developmental disorders not otherwise specified, if the treatment is delivered by specifically identified providers.
3. My daughter receives services through a licensed psychologist. Will these fees be covered?
Yes. The list of covered providers includes psychologists as well as psychiatrists, social workers certified or licensed to practice psychotherapy, paraprofessionals working under the supervision of any of these three types of providers or a professional working under the supervision of an outpatient mental health clinic.
I hope this information is helpful to you. The bill will be the subject of a public hearing before the Senate Committee on Public Health, Senior Issues, Long-term Care and Privacy on Thursday, May 31 at 9:30 am in Room 411 South of the State Capitol.
Thank you for your interest and support for this legislation.
Nadine Gratz
Legislative Analyst, Office Senator Judy Robson
608-266-2253
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