Extends coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome by removing the sunset date of December 31, 2025, and mandating such coverage.
Impact
If enacted, S0473 would amend existing Rhode Island laws related to health insurance by mandating that all group health insurance policies cover these specialized treatments. This would potentially alleviate the financial burden on families seeking treatment for their children, facilitating better access to care for conditions that are often misunderstood and misdiagnosed.
Summary
Bill S0473 aims to extend the mandatory coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome. The bill proposes to remove the existing sunset date of December 31, 2025, thereby ensuring that this critical health coverage remains available to affected children beyond that date. It emphasizes the importance of providing necessary medical treatments such as intravenous immunoglobulin therapy, which has been shown to be effective for these conditions.
Contention
There may be varying opinions on the bill, particularly concerning its implications for insurance providers and the costs that may arise from mandated coverage. Proponents of the bill argue that it is vital for protecting children's health and ensuring that they receive the necessary treatments without financial strain. Conversely, critics may voice concerns over how this mandate could lead to increased insurance premiums or impacts on the insurance market, necessitating discussions and analyses to address these issues effectively.
Removes the sunset provision of all statutory law requiring coverage for the treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome.
Removes the sunset provision of all statutory law requiring coverage for the treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome.
Outlines the insurance coverage standards, protocols and guidelines for medically necessary treatment of individuals with mental health or substance abuse use disorders.
Requires that any insurance contract issued, amended or renewed on or after January 1, 2025, that provides hospital, medical or surgical coverage shall provide coverage for medically necessary treatment of mental health or substance use disorders.
Requires coverage for residential/inpatient mental health services for detox/stabilization/substance abuse disorders without preauthorization or be subject to concurrent review during the first 28 days.
Requires coverage for residential/inpatient mental health services for detox/stabilization/substance abuse disorders without preauthorization or be subject to concurrent review during the first 28 days.
Removes the sunset provision of all statutory law requiring coverage for the treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome.
Removes the sunset provision of all statutory law requiring coverage for the treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome.
Removes the sunset provision of all statutory law requiring coverage for the treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome.