LRB-3912/2
PJK:jld:rs
2009 - 2010 LEGISLATURE
March 2, 2010 - Introduced by Representatives Hintz, Gottlieb, Hixson, Turner,
Brooks, Molepske Jr., Hilgenberg, Kaufert and Grigsby, cosponsored by
Senators Wirch and Olsen. Referred to Committee on Insurance.
AB789,1,3
1An Act to amend 632.895 (12m) (b) 4.; and
to create 632.895 (12m) (b) 3m. of
2the statutes;
relating to: insurance coverage of the services of behavior
3analysts for autism treatment.
Analysis by the Legislative Reference Bureau
Under current law, health insurance policies and self-insured governmental
and school district health plans are required to cover a specified amount of
intensive-level services and nonintensive-level services provided to an insured for
the treatment of autism, Asperger's syndrome, and pervasive developmental
disorder not otherwise specified as long as the treatment is prescribed by a physician
and provided by any of the following providers who are qualified to provide
intensive-level services or nonintensive-level services: a psychiatrist; a
psychologist; a social worker who is certified or licensed to practice psychotherapy;
a paraprofessional working under the supervision of any of those three types of
providers; a professional working under the supervision of an outpatient mental
health clinic; a speech-language pathologist; or an occupational therapist. This bill
provides that the coverage must also apply to services provided by a behavior
analyst, excluding an assistant behavior analyst, who is certified to practice
behavior analysis by the Behavior Analyst Certification Board, Inc., or by a
paraprofessional working under the supervision of such a behavior analyst, if the
behavior analyst or paraprofessional is qualified to provide intensive-level services
or nonintensive-level services.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB789, s. 1
1Section
1. 632.895 (12m) (b) 3m. of the statutes is created to read:
AB789,2,42
632.895
(12m) (b) 3m. A behavior analyst who is certified to practice behavior
3analysis by the Behavior Analyst Certification Board, Inc., excluding a person who
4is certified as an assistant behavior analyst.
AB789,2,87
632.895
(12m) (b) 4. A paraprofessional working under the supervision of a
8provider listed under subds. 1. to
3. 3m.
AB789,2,1310
(1) If a disability insurance policy or a governmental self-insured health plan
11that is in effect on the effective date of this subsection contains a provision that is
12inconsistent with this act, this act first applies to that policy or plan on the date on
13which it is renewed.
