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Autism Care Coverage

In 2011 (HB 2693) and 2012 (HB 4260), Delegate Fleischauer was the lead sponsor of autism legislation that increased funding and insurance coverage for children with autism spectrum disorder.  Six million dollars was added to the state budget to cover increased costs in Medicaid, the Children’s Health Insurance Program (CHIP) and the Public Employees Insurance (PEIA).  These programs and most private insurance companies operating in West Virginia are now required to provide coverage for behavioral therapy - up to $30,000 per year for the first three years, and up to $24,000 thereafter.  This coverage is available under these insurance plans to children with autism from the date of diagnosis to age 18, so long as a physician certifies that the treatment is medically necessary.  With intensive early treatment, most children with autism can become productive members of society.  This was a huge heart-warming win for children and families.

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