HI State Updates - 2015 Jan 28 No.01

On July 14, 2015, Gov. Ige signed SB 791 into law. The new law requires group health plans to provide coverage for the diagnosis and treatment of autism for children under age 14. The coverage may be subject to a deductible, coinsurance or copayment but cannot be less favorable than the cost sharing provisions for medical services under the plan. Coverage for applied behavioral analysis shall be subject to a maximum benefit of $25,000 per year. Coverage may be excluded for services provided out of state, custodial care, care provided by a family or household member, experimental care or clinically in appropriate services or supplies. The insurer must distribute a notice summarizing the coverage with 2016 plan materials. The law is effective for policies issued or renewed on or after Jan. 1, 2016.

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