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Autism coverage urged

Supporter of insurance mandate warns of 'autism tsunami'







Dozens of people wearing red and carrying signs arrived outside the Sawyer Building on Monday to show their support for Assembly Bill 162, which would require certain insurance plans to cover treatments and therapies for autism.

"There's an autism tsunami that's going to hit Nevada if these children don't get treatment,'' said Lorri Unumb, a South Carolina law professor who testified later in the day before the Assembly Committee on Commerce and Labor in support of the bill.


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  • Unumb wrote South Carolina's law, which mandates that insurance companies licensed in that state provide up to $50,000 a year for behavioral health therapy to children up to age 12.

    Ryan's Law, named for her 7-year-old son who has autism, also prohibits insurance companies from refusing other medical care to children because of their autism. The law, however, doesn't apply to individuals or companies that are self-insured.

    Texas and Indiana have similar bills, Unumb testified before packed rooms in Las Vegas and Carson City.

    Opponents of AB162 also testified, saying the mandate could prove too costly during Nevada's economic downturn. Some said the bill would disproportionately affect small businesses and could lead to a rise in premiums.

    "This is a very worthy cause but just poor timing,'' said Valerie Clark, president of Clark and Associates of Nevada in Reno.

    Clark said some companies, especially small businesses, are already struggling to provide health care coverage to employees. Mandating autism coverage in Nevada could result in small businesses dropping insurance plans altogether, she said.

    Representatives from Nevadans for Affordable Health Care, Clark County Association of Health Underwriters and the Nevada Association of Health Plans shared similar concerns.

    Jack Kim, representing the Nevada Association of Health Plans, said the organization is willing to work with lawmakers to amend the bill so that everyone could support it.

    Claps and cheers from attendees in both Las Vegas and Carson City met Kim's comments.

    Chuck Duarte, administrator of the state's Division of Health Care Financing and Policy, also asked that AB162 be amended to exempt Nevada Medicaid and Nevada Check Up.

    Before the hearing, advocates and parents of children with autism held a press conference outside the Sawyer Building to share their stories and show support for the bill. Most spoke about the costs associated with their child's care.

    Autism spectrum disorders are developmental disorders that cause substantial impairments in social interaction and communications. Many children don't respond to their names.

    Children who are autistic typically begin showing signs by age 3. They often lose their ability to make sounds and walk, and their social skills disappear. Some exhibit more severe symptoms than others.

    In some situations, children with autism don't know how to interpret others' feelings.

    Each child with autism can accrue millions of dollars in costs to society over their lifetime, which is a reason early intervention is key, said Jan Crandy of the Autism Coalition of Nevada.

    "There are lots of families out there struggling to provide for their children,'' said Assemblyman James Ohrenschall, D-Las Vegas. "That's what inspired me to introduce Assembly Bill 162."

    Ohrenschall said the bill has the potential to improve thousands of Nevadans' lives.

    Contact reporter Annette Wells at awells@reviewjournal.com or 702-383-0283.

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    jennifer wrote on March 12, 2009 02:25 PM: At the rate autism is growing everyone that posted a comment will be affected or at least know someone that has autism at some point in their lifetime. I hope when that happens to the people they care about they will have the neccessary medical insurance coverage. Autism is an epidemic and families are faced with huge financial burdens to get their children the therapies they need. These kids with autism deserve to reach their full potential in life. I am a proud parent of a child with autism. My daughter struggles daily and deserves to get the neccessary treatments just like any other child with a disability. I hope the legislatures and isurance companies can continue to work together and help these kids in southern Nevada.


    Comment Policy wrote on March 11, 2009 02:03 AM: Dear LVRJ, the following posters have violated paragraph 2 and/or paragraph 3 of the Comment Policy and this is a request per paragraph 1 for their comments to be removed from the permanent record:

    HELENWEILS
    Jack
    db
    flacon de neige
    ryan
    Dave & Traci


    Too_much_government wrote on March 10, 2009 08:18 PM: A health insurer might react to this kind of legislation by surrendering its license. That would reduce competition. Or, an insurer might decide to add autism coverage by dropping coverage for some other child conditions. Or, a health insurer might try to raise its rates. Either way, health insurance consumers who liked their policies just the way they were will be inconvenienced.

    We don't want politicians writing insurance policies. We don't want them mucking around with the private sector. Big government never knows when to quit.


    Julie wrote on March 10, 2009 07:57 PM: I am proud to be one of the parents fighting to ensure our children get the proper treatment they deserve. We are not asking for free services, we are asking to use the medical coverage we pay for out of our paychecks every week. I hope our legislators and the insurance industry will continue to work together to help find a way to cover the services needed to help children with autism get the medical help they need to lead productive healthy lives.


    Dave & Traci wrote on March 10, 2009 05:16 PM: Oh thank you Jan! We love you dearly! These people and their comments are unbelievable!
    Helen...shame on you....Flacon de who ever you are you stink too!


    Ralph Toddre wrote on March 10, 2009 04:56 PM: I am very optimistic that the Autism Commission, the legislators, and the insurance industry will come to an agreement on this Bill that will be good for all. Remember our kids did not choose to have Autism. It is a medical condition that affects 1 in 150. More than all other childhood diseases combined. Our kids have a right to as good a life as possible. All kids, and all of their diseases should be given equal coverage. Over the past 10 years all childhood diseases have grown at an astronomical rate, not just Autism. Unfortunately, it just happens to be the fastest growing one. It's the right Bill, at the right time. Learn the facts, and you hopefully will understand the need, and maybe even agree.


    Jack wrote on March 10, 2009 04:56 PM: Sorry Jan, whenever we see these sob stories in the RJ it is simply another one sided coverage designed to make me feel bad for someone else. This is designed so that I can fork over more taxes or pay higher insurance premiums to take care of other people. When the government gets involved in insurance and medicine, everyone suffers. We are all very sorry that someone got autism...that does not make it right for the government to step in, tell teh insurance companies that they have to pay for it. It is also grossly unfair for you to use overinflated statistics to try to scare us into socialism.
    Should this go through, I hope that the insurance companies are allowed to force these baby factories to test prior to having kids that all of us have to pay for!


    Jan Crandy wrote on March 10, 2009 02:44 PM: As a parent of child with autism, I am grateful to see the insurance lobbyists coming to the table, they do see the need and the long term of effects of not providing coverage.

    Autism is a medical condition and when families or the companies they work for pay for insurance, their children should be covered on their plan. That is why, one has health insurance. If you had cancer, and your plan covered cancer, but did not pay for chemotherapy, how much would your insurance plan benefit you, would it help to save your life, or were those monthly premiums a waste of money. That is the case with autism, to exclude or to not cover the treatment proven most effective, is just wrong. the increase to monthly premiums is less than the price of a Big Mac.

    With treatment, about 50% of the children will make life altering improvements, enough so to go on to lead independent lives, become tax payers. Without treatment, they will need special education, and life long supports. And most will relay on the system that tax payers provide for. Autism is going to effect everyone, not just the families who have children with autism, it has is an epidemic, we will pay a bigger price in the future if we choose not to provide treatment or access to treatment now. Care before you have to.


    ryan wrote on March 10, 2009 02:44 PM: Hey Helenweils, You suck. Now get to your corner and make my money.


    flacon de neige wrote on March 10, 2009 01:19 PM: Dear jack,
    ROFLMAO!! I absolutely agree with you. Thanks for posting, i got a good laugh.


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