Bill > HB453

This bill amends Ohio law to expand insurance and Medicaid coverage for autism spectrum disorder treatments, particularly applied behavior analysis (ABA) therapy. The key provisions include requiring health insurance corporations and sickness and accident insurers to provide comprehensive coverage for autism spectrum disorder screening, diagnosis, and treatment without age restrictions, removing previous limits on the number of therapy visits, and allowing exam-eligible technicians to practice applied behavior analysis under certain supervision conditions. The bill defines an "exam-eligible technician" as an individual who is either in the process of becoming a registered behavior technician or has met specific qualifications, such as holding a high school diploma, completing required training, and passing a competency assessment. Additionally, the bill mandates that third-party payers reimburse ABA service providers at least 100% of the Medicaid fee schedule and requires the Department of Medicaid to establish specific payment rates for ABA therapy services for Medicaid enrollees with autism spectrum disorder by fiscal year 2027. The legislation aims to improve access to and coverage of autism treatment services while establishing clear guidelines for practitioners in the field.

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https://www.legislature.ohio.gov/legislation/136/hb453