Health insurance coverage for autism receives Senate hearing

February 13, 2012

By SCOTT JORGENSEN

SALEM, Ore.- A bill establishing requirements for health insurance coverage of autism spectrum disorders received a public hearing during the Senate Health Care, Human Services and Rural Health Policy Committee’s Friday meeting.

Supporters of Senate Bill 1568 testified on its behalf.

Portland resident Paul Terdal testified that he has two autistic children. That condition is covered by insurance under current laws, including those involving mental health parity; but Terdal said obtaining care is still very difficult for families.

The purpose of SB 1568 is to streamline the process of obtaining care so that people do not have to fill out extensive paperwork for six months or get a court order to receive it, Terdal said.

Dr. Robin McCoy, a specialist in developmental and behavioral pediatrics at Oregon Health & Science University (OHSU), testified via telephone on behalf of the bill.

McCoy said that around 150 children are diagnosed with autism at OHSU every year. Insurance companies in Oregon cover very few services for autism, McCoy said, and parents usually have to fight for that limited assistance.

In her testimony, McCoy said many parents of autistic children have had to move out of Oregon to get the help they need.

Melanie Shaw, a behavior analyst and owner of the Beaverton-based Play Connections autism intervention center, said she has witnessed many “heartbreaking scenarios” with parents who cannot afford critical treatments for their children.

Testimony was also heard from Tobi Rates, executive director of the Autism Society of Oregon. She said she has spent several years talking to the various stakeholders surrounding the issue and that there is “clear consensus” that the bill is urgently needed.

Rates said she and her husband have had to leverage all of their assets in order to pay for their autistic child’s treatments. She added that she knows several parents who have bankrupted themselves to pay for treatment and that some have even lost their homes.

Parents in such situations can pursue administrative remedies, Rates said, but that is expensive and time consuming.

Lobbyist John Powell spoke on behalf of Regence BlueCross BlueShield of Oregon. He said there is “solidarity” on the part of insurers to provide the coverage sought by proponents of SB 1568.

The bill has changed “substantially” from its original form due to collaborative efforts between insurance companies and advocates for additional autism coverage, Powell said.

However, Sen. Chip Shields, D-Portland, said he was “frustrated” by the lack of progress that has been made thus far on reaching a resolution of the matter.

Powell testified that the industry is “trying to find ways” to make the legislation work for it. He said the credentialing of specialists is still an issue and that sideboards must be put on the costs of providing the treatments.

Shields encouraged Powell to continue negotiating in good faith with proponents of the legislation, adding that they have told him they have made numerous concessions to the industry throughout the process.

Terdal had testified that he has been working on the bill since the end of the 2009 legislative session. Shields expressed optimism that a final resolution could be reached during the legislature’s next session in 2013.

Before closing the public hearing, Sen. Laurie Monnes Anderson (D-Gresham), chair of the committee, said she wanted more input from the rest of the state’s major insurance companies before advancing the bill any further. Anderson added that she knows many legislators who support the proposed legislation.

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2 Responses to “Health insurance coverage for autism receives Senate hearing”

  1. Disappointed says:

    Sen. Laurie Monnes Anderson has shown her true colors. She only serves special interest groups who generously fund her campaign. She doesn’t care for the children in OR who are hurt and could be helped by this bill – only thinks of the 1%. Do NOT support her re-election as she is a wolf in sheep’s clothing.

  2. autism awarenesss says:

    Obama care is targeting families with autistic children who will likely need long term health care. They want to pretend they don’t exist. They want to push them into a black hole where their delicate needs aren’t considered. nevermind it will cost states upwards of a million dollars to place severely autistic individuals into state institutions or group homes. Never mind Obamacare doesn’t have a clue what it takes to care for the most vulneralbe of autistic community. Oh, yes, let us just enjoy the sweet words of Obama and others like him. Let us believe their lies. Their empty promises to generate more votes. The fact is Obama and many other politicians don’t undertand what it’s like to live with an autistic child. They don’t care. They don’t want to know. They will say anything they can to convince you they care, but the reality is they can’t know, they don’t want to know, they can care less! Fools! don’t be fooled by this nonsense. These people will tell you anything to get another vote, but ask yourselves, do they really understand what it is like to raise an autistic child? Do they get what we go through? NO, they don’t, and never will, unless we show them what it’s like and even then, they will feign ignorance, and tell us what we want to hear, until they’re elected and then they will do whatever they want to squash us into oblivion. So what then? WHO do we vote for? No doubt, Obama doesn’t understand what autistic children need, or what their families face with long term health care insurance coverage. He doesn’t have a clue. He, like so many other politicians, is content where he is. He’s sending his wife onto vacations to Africa. He’s living the life. He’s got his man, To hell with everyone else, right? And is he different than the others? We will see…


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