Autism Speaks model bill

Austim Speaks, an advocacy and research group, has campaigned hard in the states to increase benefits for autism care and drafted its own model bill to do so.

Autism Speaks model bill

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  • F.As used in this section:
  • 1. “Applied behavior analysis” means the design, implementation, and evaluation of environmental modifications, using behavioral stimuli and consequences, to produce socially significant improvement in human behavior, including the use of direct observation, measurement, and functional analysis of the relationship between environment and behavior.
  • 2. “Autism spectrum disorder” means any of the pervasive developmental disorders or autism spectrum disorders as defined by the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders(DSM).
  • 3. “Diagnosis of autism spectrum disorder” means medically necessary assessment, evaluations, or tests to diagnose whether an individual has an autism spectrum disorder.
  • 4. “Behavioral health treatment” means counseling and treatment programs, including applied behavior analysis, that are:
  • (a) necessary to develop, maintain, or restore, to the maximum extent practicable, the functioning of an individual; and
  • (b) provided or supervised by a Board Certified Behavior Analyst or by a licensed psychologist so long as the services performed are commensurate with the psychologist’s university training and supervised experience.
  • 5. “Health insurance policy” means any individual or group health policy or contract issued by an insurance entity subject to one of the following: [cite applicable statutes].
  • 6. “Pharmacy care” means medications prescribed by a licensed physician and any health-related services deemed medically necessary to determine the need or effectiveness of the medications.
  • 7. “Psychiatric care” means direct or consultative services provided by a psychiatrist licensed in the state in which the psychiatrist practices.
  • 8. “Psychological care” means direct or consultative services provided by a psychologist licensed in the state in which the psychologist practices.
  • 9. “Therapeutic care” means services provided by licensed or certified speech therapists, occupational therapists, or physical therapists.
  • 10. “Treatment for autism spectrum disorder” means evidence-based care and related equipment prescribed or ordered for an individual diagnosed with an autism spectrum disorder by a licensed physician or a licensed psychologist who determines the care to be medically necessary, including but not limited to:
  • a. behavioral health treatment;
  • b. b. pharmacy care;
  • c. c. psychiatric care;
  • d. d. psychological care; and
  • e. e. therapeutic care.
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Hawaii S.B. 2054 (as introduced)

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  • (m) As used in this section, unless the context clearly requires otherwise:
  • "Applied behavior analysis" means the design, implementation, and evaluation of environmental modifications, using behavioral stimuli and consequences, to produce socially significant improvement in human behavior, including the use of direct observation, measurement, and functional analysis of the relations between environment and behavior.
  • "Autism service provider" means any person, entity, or group that provides treatment for autism spectrum disorders.
  • "Autism spectrum disorders" means any of the pervasive developmental disorders or autism spectrum disorders as defined by the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders.
  • "Behavioral health treatment" means evidence based
  • counseling and treatment programs, including applied behavior analysis, that are:
  • (1) Necessary to develop, maintain, or restore, to the maximum extent practicable, the functioning of an individual; and
  • (2) Provided or supervised by a board-certified behavior analyst or by a licensed psychologist so long as the services performed are commensurate with the psychologist's formal university training and supervised experience.
  • "Diagnosis of autism spectrum disorders" means medically necessary assessments, evaluations, or tests conducted to diagnose whether an individual has an autism spectrum disorder.
  • "Pharmacy care" means medications prescribed by a licensed physician or registered nurse practitioner and any health-related services that are deemed medically necessary to determine the need or effectiveness of the medications.
  • "Psychiatric care" means direct or consultative services provided by a licensed psychiatrist.
  • "Psychological care" means direct or consultative services provided by a licensed psychologist.
  • "Therapeutic care" means services provided by licensed speech pathologists, registered occupational therapists, licensed social workers, licensed clinical social workers, or licensed physical therapists.
  • "Treatment for autism spectrum disorders" includes the following care prescribed or ordered for an individual diagnosed with an autism spectrum disorder by a licensed physician, psychiatrist, psychologist, licensed clinical social worker, or registered nurse practitioner if the care is determined to be medically necessary:
  • (1) Behavioral health treatment;
  • (2) Pharmacy care;
  • (3) Psychiatric care;
  • (4) Psychological care; and
  • (5) Therapeutic care."
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