ࡱ> sut Jbjbj I(5. . qqqqq8u6t(+++___66666667:J6q __  6qq++4/6 q+q+r5 6.1 +p`0:^5E60u60l:p:H11:q&18_^AL~___66j___u6    :_________. 7:   WASHINGTON ASSOCIATION OF HEALTH UNDERWRITERS LEGISLATIVE UPDATE January 26, 2009 Mandated Benefit Proposals for Autism-Related Services Introduced Companion bills have been introduced in the House and Senate that would establish sweeping mandates for new benefits for autism-related services. SB 5203 and HB 1210 would require health plans, including those offered to public employees and their dependents, to include coverage for the diagnosis and treatment of autism spectrum disorders in individuals under the age of 21. The bills would impose a benefit of up to $50,000 per year, and they would preclude any limit on the number of visits an individual may make to an autism services provider. Covered treatments would include applied behavioral analysis, pharmacy, psychiatric, physiological, and therapeutic care, as well as any other care determined by the Department of Health to be medically necessary. The Senate Health and Long Term Care Committee has scheduled a hearing to consider SB 5203 on Wednesday, January 28 at 8:00 a.m. Key legislators have expressed concern about the costs and services associated with the bills. Fiscal notes will certainly be requested to evaluate cost impacts on state programs. Proposal Filed to Increase Coverage for Neurodevelopmental Therapies HB 1412 has been introduced in the Housea measure that would amend the current mandated benefit for neurodevelopmental therapies by extending the age for those eligible for services to 18. The new requirements would become effective for plans on or after January 1, 2011. The bill would direct the Department of Health to determine the most appropriate means to regulate providers who use applied behavioral analysis for the treatment of autism, and identify therapies that should be considered to be in accordance with generally accepted standards of practice. The measure was introduced as an alternate proposal to the bills that would specifically mandate coverage for autism services. Mandated Benefits for Language Translation Services Introduced Measures have been introduced in the House and Senate that would mandate coverage for language translation services for covered individuals that have limited proficiency in the English language. SB 5140 and HB 1519 would require health plans to provide interpretation services or reimburse health care providers for providing interpretation services to covered individuals who have limited proficiency in the English language. The requirements would become effective on health plans on or before January 1, 2011. State programs would be obligated to comply when funds are appropriated for implementation. SB 5140 has been scheduled for hearing before the Senate Health and Long Term Care Committee on Wednesday, January 28 at 8:00 a.m. Administrative Simplification and Streamlining Bill Introduced in the Senate Senator Karen Keiser, the Chair of the Senate Health and Long Term Care Committee, has introduced SB 5346a measure that is intended to establish streamlined and uniform standards for the administration of private and public health care programs. The bill directs the Insurance Commissioner to designate one or more lead organizations to coordinate the development of processes, guidelines, and standards to streamline health care administration for use by payers and providers of health care services in Washington State. The bill also directs the Department of Social and Health Services, the Department of Labor and Industries, and the Health Care Authority to cooperate with the OIC in this process. The measure has been scheduled for a hearing before the Senate Health and Long Term Care Committee on Monday, January 26 at 1:30 p.m. Bill Introduced to Address Coverage for Young Adults Senator Linda Parlette (R, Wenatchee) has introduced SB 5052a measure that is intended to provide a new health coverage option for young adults. The proposal is intended to be consistent with Recommendation 8 of the Governors Blue Ribbon Commission on Health Care Costs and Access from 2007. The bill would allow carriers to develop a program for young adults that allows more flexibility in establishing rates. The bill would also require the Insurance Commissioner to develop outreach materials targeted to young adults aged 18-34 emphasizing the importance of maintaining health coverage. OIC Introduces Legislative Proposals Insurance Commissioner Mike Kreidler has prepared a package of legislative proposals that he has submitted to the 2009 Legislature. His proposals can be found on the OICs website at  HYPERLINK "http://www.insurance.wa.gov/legislative/index.shtml" http://www.insurance.wa.gov/legislative/index.shtml. Commissioner Kreidlers proposals include his Guaranteed Health Benefit Planplan to provide all Washington residents with catastrophic coverage for health crises of over $10,000 per year. The plan would be funded with new payroll taxes on employers. The proposal is being redrafted, and is likely to be released this week. The Commissioners proposals also include a measure on organ transplants (SB 5236 and HB 1308), discount health plans (SB 5480), and a package of bills relating to insurer responsibilities during emergencies (SB 5416 and HB 1565Business Continuity Plans, and HB 1566Emergency Powers Granted to the Insurance Commissioner).     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