AUTISM COVERAGE FUND EXTENSION S.B. 1007:
SUMMARY AS ENACTED
Senate Bill 1007 (as enacted) PUBLIC ACT 310 of 2016
Senate Committee: Appropriations
House Committee: Appropriations
CONTENT
The bill amended the Autism Coverage Reimbursement Act to require the Department of Insurance and Financial Services (DIFS) to reimburse a health insurance carrier or third-party administrator for paid claims related to the diagnosis and treatment of autism spectrum disorders if the following conditions were met:
-- The services for which the carrier or third-party administrator was seeking reimbursement were provided before the beginning of calendar year 2016.
-- The carrier or third-party administrator submitted its application to DIFS before May 1, 2016.
-- The Department approved the application before August 1, 2016.
-- The Department had not already fully reimbursed the carrier or third-party administrator for the claim.
Any reimbursements made under the bill had to be prorated based on the available balance in the Autism Coverage Reimbursement Fund. The proration had to be calculated by dividing the amount available in the Fund by the total paid claims approved under the bill, and then multiplying that amount by the total of each carrier's or third-party administrator's paid claims submitted under the bill.
The bill took effect on October 6, 2016.
FISCAL IMPACT
The bill had a neutral fiscal impact on the Department of Insurance and Financial Services, as it allowed for a small balance that was remaining in the Fund (approximately $450,000 at the time the bill was enacted) as well as $1.8 million in General Fund/General Purpose revenue to be used to pay the few remaining claims against the Fund. Going forward, the bill will have no fiscal impact.
This analysis was prepared by nonpartisan Senate staff for use by the Senate in its deliberations and does not constitute an official statement of legislative intent.