Autism Legislation Signed Into Law
Boston – Senator Stephen M. Brewer (D-Barre) announced today that at a bill signing ceremony at Fenway Park yesterday, Governor Patrick signed into law House Bill 4935, “An Act Relative to Insurance Coverage for Autism.” Senator Brewer co-sponsored this bill, filed by Senator Frederick Berry and Representative Barbara L’Italian.
“It is an honor to have worked with Senator Berry and Representative L’Italian to pass this important piece of legislation for families in the Commonwealth. With the number of autism cases growing at such an alarming rate, families in the Commonwealth are struggling to pay for the treatment,” said Senator Brewer.
This bill requires insurers in Massachusetts to provide coverage for the diagnosis and treatment of autism spectrum disorder. Massachusetts will now be the 23rd state to require coverage of the disorder, which affects 1 in every 110 people. Studies indicate that between 20-50% of the students with autism spectrum disorder who receive appropriate early intervention are able to participate in regular education classes, indistinguishable from their peers. 90% show improvement, which will help to lower special education costs in schools and reduce the level of support and potential private placements. According to a 2007 study conducted by the Harvard School of Public Health, the estimated cost of caring for a person with Autism Spectrum Disorder over their lifetime is $3.2 million, largely funded by the Commonwealth.
According to the Commonwealth’s actuarial analysis, estimated mid-range claim cost per covered person would be $22.08 annually, or approximately $1.84 per member per month. The actual reported cost over a period of years in Minnesota, which requires coverage for the disorder, is only $0.83 per member per month. Additionally, the legislation includes a provision that allows insurers to opt out of providing coverage for up to three years if actual costs rise by more than 1%.
H4935is now known as Chapter 207 of the Acts of 2010.
Posted: Thu, Aug 5, 2010
Updated Fri, Aug 6, 2010