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HB 6127

Human services: medical services; coverage for diagnosis of autism spectrum disorders and treatment of autism spectrum disorders; require. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109u.

2023-2024 Regular Session Introduced by Felicia Brabec and 7 co-sponsors

Michigan bill requires health insurance plans to cover autism spectrum disorder diagnosis and treatment services for enrollees.

bill electronically reproduced 11/14/2024
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Bill Summary · HB 6127

Legislative bill overview

HB 6127 would amend Michigan's Public Assistance Act to require health insurance coverage for diagnosis and treatment of autism spectrum disorder (ASD). The bill specifically adds a new section (109u) to the existing statute, mandating that insurance plans cover both diagnostic evaluations and therapeutic interventions for ASD.

Why is this important

Autism spectrum disorder affects approximately 1 in 36 children in the U.S., and diagnostic and treatment services (such as speech therapy, occupational therapy, and behavioral intervention) are often expensive and out of reach without insurance coverage. This bill could expand access to early diagnosis and evidence-based treatments, which have better outcomes when implemented earlier in childhood, potentially reducing long-term costs to families and the state.

Potential points of contention

  • Insurance premium costs: Mandating coverage typically increases insurance premiums for all enrollees; debate will center on whether this cost burden is justified and fairly distributed
  • Definition and scope ambiguity: The bill language doesn't specify which treatments qualify (e.g., are experimental therapies included? What about adult diagnosis?), potentially leading to coverage disputes and implementation challenges
  • Age limitations and duration: Unclear whether coverage applies to children only or adults, and whether treatment coverage has time/cost limits, which could affect accessibility and leave gaps in care
  • Private vs. public insurance: The bill's applicability to private insurance versus Medicaid may create equity issues or face industry resistance

Compiled from official sources — confirm details with the bill’s official record.

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