1.1.................... moves to amend H.F. No. 181, the first engrossment, as follows:
1.2Delete everything after the enacting clause and insert:

1.3    "Section 1. [62A.3094] COVERAGE FOR AUTISM SPECTRUM DISORDERS.
1.4    Subdivision 1. Definitions. (a) For purposes of this section, the terms defined in
1.5paragraphs (b) to (e) have the meanings given.
1.6(b) "Autism spectrum disorders" means the conditions as determined by criteria
1.7set forth in the most recent edition of the Diagnostic and Statistical Manual of Mental
1.8Disorders of the American Psychiatric Association.
1.9(c) "Health plan" has the meaning given in section 62Q.01, subdivision 3.
1.10(d) "Medically necessary care" means health care services appropriate, in terms of
1.11type, frequency, level, setting, and duration, to the enrollee's condition, and diagnostic
1.12testing and preventative services. Medically necessary care must be consistent with
1.13generally accepted practice parameters as determined by physicians and licensed
1.14psychologists who typically manage patients who have autism spectrum disorders.
1.15(e) "Mental health professional" has the meaning given in section 245.4871,
1.16subdivision 27.
1.17    Subd. 2. Coverage required. (a) A health plan must provide coverage for the
1.18diagnosis, evaluation, assessment, and medically necessary care of autism spectrum
1.19disorders, including but not limited to the following:
1.20(1) intensive behavior therapy, including but not limited to applied behavior
1.21analysis, intensive early intervention behavior therapy, intensive behavior intervention,
1.22and Lovaas therapy;
1.23(2) neuro-developmental and behavioral health treatments and management;
1.24(3) speech therapy;
1.25(4) occupational therapy;
1.26(5) physical therapy; and
1.27(6) medications.
2.1(b) Coverage required under this section shall include treatment that is in accordance
2.2with an individualized treatment plan prescribed by the insured's treating physician or
2.3mental health professional.
2.4(c) A health plan may not refuse to renew or reissue, or otherwise terminate or
2.5restrict, coverage of an individual solely because the individual is diagnosed with an
2.6autism spectrum disorder.
2.7(d) A health plan may request an updated treatment plan only once every six months,
2.8unless the health plan and the treating physician or mental health professional agree that a
2.9more frequent review is necessary due to emerging circumstances.
2.10    Subd. 3. No effect on other law. Nothing in this section limits in any way the
2.11coverage required under section 62Q.47.
2.12    Subd. 4. State health care programs. This section does not affect benefits available
2.13under the medical assistance and MinnesotaCare programs and does not limit, restrict, or
2.14otherwise reduce coverage under these programs.
2.15EFFECTIVE DATE.This section is effective August 1, 2013, and applies to
2.16coverage offered; issued; sold; renewed; or continued as defined in Minnesota Statutes,
2.17section 60A.02, subdivision 2a; on or after that date."