Kansas proposal mandates insurance cover autism, follows Georgia and Utah

Posted: Published on March 10th, 2014

This post was added by Dr Simmons

SEATTLE, March 10 (UPI) -- Treatment for autism can be expensive, sometimes costing families anywhere from $40,000 to $60,000 a year, and insurers have been historically reluctant to cover some therapies they argue are educational rather than medical.

At the core of this debate is applied behavioral analysis, a therapy which aims to raise a clients level of independence or functionality through behavioral conditioning -- for instance, a child who is working on developing socials skills might be rewarded with verbal praise or a healthy snack after behaving appropriately during an exercise.

Doctors and parents see ABA as an essential part of treatment for autism, while insurers insist it is simply education and not a medical therapy.

Kansas, one of 17 states that dont broadly mandate private insurance coverage of autism, saw a proposal in its State Senate last week that would force insurers to cover treatment.

Rep. Scott Schwab, a Republican who chairs the House Insurance Committee, opposed the bill claiming it would drive up premiums, requiring coverage many would never use, and worrying about other specialized coverages, asking: Whos the next group to come and ask for a mandate?

Some critics call the bills proposed coverage too narrow, but lawmakers led by Rep. John Rubin, R-Shawnee say theyve crafted a compromise with the insurance industry that allows for some wins on both sides.

The push for mandating insurance coverage of autism in Kansas comes just two weeks after both Utah and Georgia's state senates passed similar bills.

[Kansas City Star] [Salt Lake Tribune] [Atlanta Journal-Constitution]

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Kansas proposal mandates insurance cover autism, follows Georgia and Utah

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