AB47-ASA1-AA1,3,16 15609.87 Coverage of treatment for autism spectrum disorders. Defined
16network plans are subject to s. 632.895 (16).
AB47-ASA1-AA1, s. 2m 17Section 2m. 632.895 (16) of the statutes is created to read:
AB47-ASA1-AA1,3,1918 632.895 (16) Treatment for autism spectrum disorders. (a) In this subsection,
19"autism spectrum disorder" means any of the following:
AB47-ASA1-AA1,3,2020 1. Autism disorder.
AB47-ASA1-AA1,3,2121 2. Asperger's syndrome.
AB47-ASA1-AA1,3,2222 3. Pervasive developmental disorder not otherwise specified.
AB47-ASA1-AA1,4,223 (b) Except as provided in par. (d), every disability insurance policy, and every
24self-insured health plan of the state or a county, city, town, village, or school district,

1shall provide coverage for an insured of treatment for an autism spectrum disorder
2if the treatment is provided by any of the following:
AB47-ASA1-AA1,4,33 1. A psychiatrist, as defined in s. 146.34 (1) (h).
AB47-ASA1-AA1,4,44 2. A person who practices psychology, as described in s. 455.01 (5).
AB47-ASA1-AA1,4,65 3. A social worker, as defined in s. 252.15 (1) (er), who is certified or licensed
6to practice psychotherapy, as defined in s. 457.01 (8m).
AB47-ASA1-AA1,4,87 4. A paraprofessional working under the supervision of a provider listed under
8subds. 1. to 3.
AB47-ASA1-AA1,4,109 5. A professional working under the supervision of an outpatient mental health
10clinic certified under s. 51.038.
AB47-ASA1-AA1,4,1111 6. A speech-language pathologist, as defined in s. 459.20 (4).
AB47-ASA1-AA1,4,1412 (c) The coverage required under par. (b) may be subject to any limitations,
13exclusions, and cost-sharing provisions that apply generally under the disability
14insurance policy or self-insured health plan.
AB47-ASA1-AA1,4,1515 (d) This subsection does not apply to any of the following:
AB47-ASA1-AA1,4,1616 1. A disability insurance policy that covers only certain specified diseases.
AB47-ASA1-AA1,4,1917 2. A health care plan offered by a limited service health organization, as defined
18in s. 609.01 (3), or by a preferred provider plan, as defined in s. 609.01 (4), that is not
19a defined network plan, as defined in s. 609.01 (1b).
AB47-ASA1-AA1,4,2020 3. A long-term care insurance policy.
AB47-ASA1-AA1,4,2121 4. A medicare replacement policy or a medicare supplement policy.".
AB47-ASA1-AA1,4,24 225. Page 3, line 6: delete "(1) This act" and substitute "(1) Health savings
23account tax credit.
The treatment of sections 71.07 (6f) and 71.10 (4) (ce) of the
24statutes".
AB47-ASA1-AA1,5,2
16. Page 3, line 8: delete "this act" and substitute "the treatment of sections
271.07 (6f) and 71.10 (4) (ce) of the statutes".
AB47-ASA1-AA1,5,3 37. Page 3, line 9: after that line insert:
AB47-ASA1-AA1,5,6 4"(2) Coverage of autism spectrum disorders. The treatment of sections 40.51
5(8) and (8m), 66.0137 (4), 111.91 (2) (n), 120.13 (2) (g), 185.981 (4t), 185.983 (1)
6(intro.), 609.87, and 632.895 (16) of the statutes first applies to all of the following:
AB47-ASA1-AA1,5,107 (a) Except as provided in paragraphs (b) and (c), disability insurance policies
8that are issued or renewed, and self-insured governmental or school district health
9plans that are established, extended, modified, or renewed, on the effective date of
10this paragraph.
AB47-ASA1-AA1,5,1311 (b) Disability insurance policies covering employees who are affected by a
12collective bargaining agreement containing provisions inconsistent with this act
13that are issued or renewed on the earlier of the following:
AB47-ASA1-AA1,5,1414 1. The day on which the collective bargaining agreement expires.
AB47-ASA1-AA1,5,1615 2. The day on which the collective bargaining agreement is extended, modified,
16or renewed.
AB47-ASA1-AA1,5,2017 (c) Self-insured governmental or school district health plans covering
18employees who are affected by a collective bargaining agreement containing
19provisions inconsistent with this act that are established, extended, modified, or
20renewed on the earlier of the following:
AB47-ASA1-AA1,5,2121 1. The day on which the collective bargaining agreement expires.
AB47-ASA1-AA1,5,2322 2. The day on which the collective bargaining agreement is extended, modified,
23or renewed.
AB47-ASA1-AA1, s. 3m
1Section 3m. Effective dates. This act takes effect on the day after
2publication, except as follows:
AB47-ASA1-AA1,6,6 3(1) Coverage of autism spectrum disorders. The treatment of sections 40.51
4(8) and (8m), 66.0137 (4), 111.91 (2) (n), 120.13 (2) (g), 185.981 (4t), 185.983 (1)
5(intro.), 609.87, and 632.895 (16) of the statutes and Section 3 (2) of this act take
6effect on the first day of the 7th month beginning after publication.".
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