SENATE ENACTS BILL TO EXPAND AUTISM INSURANCE COVERAGE

Senator Lachowicz’s bill requires autism coverage through age 10

AUGUSTA—The Senate unanimously enacted a bill sponsored by Democratic Senator Colleen Lachowicz of Waterville to expand health insurance coverage for children with autism spectrum disorder.

“We know that access to treatment can make all the difference for children with autism,” said Senator Lachowicz, who is a Licensed Clinical Social Worker. “This measure will result in more children receiving the critical care and treatment they need.”

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.

“Parents of children with serious behavioral challenges are struggling to get help,” added Senator Lachowicz. “They work hard to find services that will work for their children, and they deserve adequate insurance coverage.”

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,” will now be sent to Governor LePage for his signature.