HB 569 -- Health Insurance

Sponsor:  Molendorp

This bill changes the laws regarding the processing of health
insurance claims and insurance coverage for autism spectrum
disorder.

CLAIMS PROCESSING

A health insurance carrier will be allowed 45 processing days,
instead of the current 45 calendar days, to pay a claim.

COVERAGE FOR AUTISM SPECTRUM DISORDER

Health insurance carriers offering health benefit plans which are
delivered, issued, continued, or renewed on or after August 28,
2010, must offer group coverage for autism spectrum disorder
(ASD) for necessary medical services for enrollees diagnosed with
the disorder.  Any individual providing the medical services must
be a licensed health care practitioner.  Coverage for ASD can be
subject to plan restrictions, exclusions, and limitations and
will not include services, supplies, or equipment that comes from
a publicly funded program, is provided by a family member or
unlicensed provider, is considered educational or instructional,
or is not directly provided to the individual with ASD.

Individually sold health benefit plans and certain other
supplemental insurance policies are not subject to the ASD
coverage requirements.

Missouri House of Representatives
95th General Assembly, 1st Regular Session
Last Updated November 17, 2009 at 9:25 am