BILL TO EXPAND AUTISM INSURANCE COVERAGE ADVANCES

Senator Lachowicz’s bill requires autism coverage through age 10

AUGUSTA—Earlier today, the Senate unanimously approved a bill sponsored by Democratic Senator Colleen Lachowicz of Waterville to expand health insurance coverage for children with autism spectrum disorder.

“This measure will result in more children receiving the critical care and treatment they need for autism,” said Senator Lachowicz, who is a Licensed Clinical Social Worker. “Parents of children with serious behavioral challenges are struggling to get help. They work hard to find services that will work for their children, and they deserve adequate insurance coverage.”

Current law requires health insurance policies to cover autism treatment for children only up until age 5. Senator Lachowicz’s bill would expand coverage to include anyone up to age 10 who is insured through an individual or group health insurance policy.

“The current age limit is preventing families from getting effective, proven treatment for their children,” added Senator Lachowicz.

There is no medication to treat autism. Treatment options include working with someone specially trained in how to provide a consistent structure and review the connection between the child’s behavior and their environment.

Thirty-two state have clear insurance mandates for autism coverage, among which Maine is the most restrictive state by limiting treatment to ages 5 and under.

The bill, LD 347, “An Act to Amend Insurance Coverage for Diagnosis of Autism Spectrum Disorders,” faces further votes in the House and the Senate.

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