INS-DENIAL/SITE OF TREATMENT

Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan that provides individuals under 21 years of age coverage for the diagnosis of autism spectrum disorders and for the treatment of autism spectrum disorders may not deny or refuse to provide otherwise covered services solely because of the location where services are provided. Provides that a group or individual policy of accident and health insurance or managed care plan that provides coverage for habilitative services for children under 19 years of age with a congenital, genetic, or early acquired disorder under specified conditions may not deny or refuse to provide otherwise covered services solely because of the location where services are provided. Senate Committee Amendment No. 1 In provisions concerning autism spectrum disorders and provisions concerning habilitative services for children, provides that an insurer may not deny or refuse to provide otherwise covered services under a group or individual policy of accident and health insurance or a managed care plan solely because of the location wherein the clinically appropriate services are provided by a health care professional with appropriate certification (rather than solely because of the location wherein the services are provided). Senate Committee Amendment No. 2 In provisions concerning autism spectrum disorders and provisions concerning habilitative services for children, provides that an insurer may not deny or refuse to provide otherwise covered services under a group or individual policy of accident and health insurance or a managed care plan solely because of the location wherein the clinically appropriate services are provided (rather than solely because of the location wherein the services are provided).