Starting next July, the bill will require private insurers to cover diagnosis and treatment of autism spectrum disorders, up to $36,000 annually, for those under 21. That includes coverage for applied behavioral analysis therapy – or treatment focusing on teaching social, verbal and other skills to help shape behavior – which advocates say is essential to treating the disorder.For treatments above the $36,000 cap, families, regardless of income, can still turn to the state’s Medicaid program to fill in the gap. Health plans covering businesses with fewer than 50 employees are exempt from the bill.
Rendell and others who championed the issue believe Pennsylvania’s autism-insurance law is among the strongest in the country.
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