Prohibitions

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  • A healthcare insurance plan must not impose:
    • (1) any limits on the number of visits an insured may make to an autism services provider pursuant to a treatment plan on any basis other than a lack of medical necessity, or

    • (2) a coinsurance, copayment, deductible or other out-of-pocket expense for such coverage which places a greater financial burden on an insured for access to the diagnosis and treatment of an autism spectrum disorder than for the diagnosis and treatment of any other medical, surgical or physical health condition under the policy.


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