Nick

Nick

Tuesday, April 20, 2010

Missouri Compromise autism-insurance bill gets OK in Senate committee

JEFFERSON CITY | A Missouri Senate committee on Tuesday split the difference between House and Senate versions of legislation mandating insurance coverage for children with autism.

The new compromise requires state-regulated health insurers -- about 40 percent of the market -- to cover autism spectrum disorders, including providing expensive behavioral treatment.

It caps annual spending on that treatment at $45,000, midway between the $36,000 and $55,000 caps found in versions of the measure passed by the House and Senate, respectively. It also provides coverage through age 18.

The committee unanimously approved the bill, moving it to the Senate floor for debate.

The bill has been identified as a top priority for House and Senate leadership, as well as Gov. Jay Nixon. After some early momentum, however, its progress has slowed lately. Tuesday's vote was the first action on the issue in over a month.

The Senate's initial version of the bill is in the House and ready for consideration by a committee, although that committee's chairman said today he wasn't sure when it would be heard.

The session ends May 14

Autism insurance bill goes to governor

OKLAHOMA CITY (AP) — Gov. Brad Henry's desk is the next stop for legislation requiring health insurers to cover the same illnesses for autistic children as they do children without the condition.

Sen. Jay Paul Gumm of Durant said Tuesday the measure was passed by the House and Senate and now goes to the governor to be signed into law.

Gumm says families have told him some insurers deny claims for autistic children for illnesses unrelated to the diagnosis. Oklahoma does not require health insurers to cover autism and most insurers exclude it.

Gumm says families with autistic children pay premiums to health insurers and expect to be treated fairly. He says that if an autistic child breaks an arm, they should be covered like anybody else.

Measure Providing Insurance Fairness for Children with Autism Goes to Governor


OKLAHOMA CITY – A bipartisan effort has put a bill on Governor Henry’s desk to make certain health insurance companies cover the same illnesses for children with autism as they do children without such a diagnosis.

That assurance is contained in Senate Bill 2045. When the bill was before the Senate, Senator Jay Paul Gumm proposed the language as an amendment, which senators overwhelmingly approved. The amended bill passed both the Senate and House of Representatives and is now on its way to the governor.

“During my work with families who have children with autism, this was one of their highest priorities,” said Gumm, a Democrat from Durant. “We have families who have children with autism who pay their premiums and expect to be treated fairly. This amended bill will ensure that very thing.”

The senator said dozens of families told him some insurance companies routinely deny claims filed on behalf of children with autism for illnesses and maladies unrelated to the diagnosis of autism. Such claims were denied because Oklahoma does not require health insurance policies to cover diagnosis and treatment of autism and most insurers specifically exclude autism.

“For me,” Gumm said, “this issue speaks to the fundamental moral question of ‘fairness.’ Regardless of anyone’s stand on whether insurers should be required to cover diagnosis and treatment of autism, one fundamental fact remains: If a child with autism breaks an arm on the playground or gets sick, they should be covered the same as any other child.”

Gumm, a Democrat from Durant, said his measure began as a stand-alone bill. After discussing the issue with Sen. Bill Brown, R-Broken Arrow, and chair of the Senate Committee on Retirement and Insurance, a bipartisan agreement was struck to include the language in one of Brown’s bills.

“I want to express my deep appreciation to both Senator Brown and Senate President Pro Tempore Glenn Coffee,” Gumm said. “Their support has made it possible to get this legislation through both chambers and to the governor. Families across Oklahoma will benefit because we worked together.

“It shows that we can set aside partisan differences and find that common ground on which we can build a better Oklahoma for all our citizens, and this was a critical step toward fairness for our children and families who are struggling with autism.”

Wednesday, March 31, 2010

79% of OK voters approve of Nick's Law

OK Gazette
March 31, 2010

SoonerPoll.com, run by Shapard Research, surveyed 1,000 likely registered voters statewide between Feb. 25 and March 8. The poll has a 3.1 percent margin of error. For those contemplating a run at political office this year, here are a couple of campaign tips based on the poll: Better do thorough research on autism, and, for God’s sakes, limit the booze.

A caring state

Oklahoma’s public health is a constant topic, with most indicators showing the state as one of the least healthy in the country. Partisan sides are drawing battle lines with a different medical issue.

The state does not require insurance companies to provide medical coverage for autistic children, a growing segment of the population. Debate in the state Legislature has been heated, with attempts to mandate such coverage. The Republican-controlled House and Senate have successfully thwarted all attempts at autism legislation. In fact, a bill has never even made it through either chamber for a vote.

But according to the poll, those opposed to such measures might want to keep their opinion to themselves. SoonerPoll found nearly 80 percent favor requiring health insurance to cover diagnosis and treatment of children with autism.

Gaddie, vice president of Shapard Research, said that number shows the autism side winning the public opinion battle.

“First of all, you have public acceptance that it is a medical condition that is deserving of insurance coverage, and that there is a moral obligation for insurance companies to engage in that type of coverage,” said Gaddie, an Oklahoma Gazette commentary writer.

This is some of the best news autism insurance advocate Wayne Rohde has received since taking on the fight. The poll is encouraging, but even he is surprised how much support is out there.

“I was kind of believing 60 percent would be a good number to have,” Rohde said. “When we hit higher numbers, it really hit home that it transcends across all political ideologies, economic status and religious views.”

Rohde has been pushing Nick’s Law on lawmakers, named after his autistic son, Nicholas.

Almost 54 percent of respondents said they would be more likely to vote against a candidate who did not support mandated autism insurance coverage. And 66 percent support a state ballot initiative to make a law requiring coverage.}

This is more ammunition for Rohde. He said his first two options are for insurance companies to start providing coverage on their own, or letting the Legislature adopt a law or put the issue on the November ballot.

But he is prepared to take it to the people.

“If the Legislature keeps turning their backs on the special-needs children, then we have to proceed another action,” Rohde said. “That is the signature petition initiative which I believed would be supported by a majority of Oklahomans. We are a very caring state for our neighbors.”

Click here to read the entire article and view charts.

Saturday, March 13, 2010

Autism insurance bill, Nick's Law

Ed Doney Reporting , KFOR
March 9, 2010

OKLAHOMA CITY -- A bill that would require insurance companies to cover treatment for children with autism has cleared the House of Representatives in Missouri. However, the fight continues over similar legislation in Oklahoma, called "Nick's Law." The father of 12-year-old Nick Rohde, for whom the proposed law was named, wants Oklahoma to join surrounding states on the issue.

Wayne Rohde spends thousands of dollars every month for Nick's autism behavioral therapy, which is not covered by insurance and yet Nick is still unable to verbally communicate with his dad.

Wayne has unsuccessfully tried to get lawmakers to pass Nick's Law and is amazed at how Oklahoma is surrounded by states that do cover the disease like Colorado, New Mexico, Texas and Louisiana.

As Missouri inches closer to providing autism coverage, Wayne says that 65 percent of Oklahomans are on his side.

"So we know we're on the right track. This is the right thing to do," he says. "Unfortunately, our State Capitol is not listening to the people of Oklahoma."

Representative Mike Brown (D, District 4) has authored House Joint Resolution 1068, which would "refer (the issue) to the people for their approval" on the November ballot.

He says it's currently being held up in a rules committee.

Brown was disappointed Nick's Law was killed last year in the Economic Development and Financial Services Committee, which means it won't be heard again until 2011.

"You can't just turn your head, stick your head in the sand and say it's going to go away," Brown says.

He points to 15 other states that have already passed autism coverage legislation that, he says, has not significantly raised insurance premiums.

"Will there be slight (cost) increases? My gosh, there's astronomical increases every year in health care, with no reasons behind it," Brown says.

Representative Dan Sullivan (R, District 71) is Chairman of the committee that killed Nick's Law, last year.

"We see a movement in the market without government intervention that's taking care of these situations and moving in the right direction," he says.

Sullivan points out that Blue Cross and Blue Shield of Oklahoma is now offering autism coverage on their own; he wants other insurance companies to follow their lead, without an expensive government mandate.

If they don't follow suit?

"It would certainly cause us to go back to these other carriers and say, 'why aren't you doing this? Give us a reason why you're not doing this?'" Sullivan says. "We would rather have people do it in their own course of business rather than forcing and mandating them to do that."

Blue Cross and Blue Shield of Oklahoma released a statement Tuesday saying "(We) will provide a clinically reasonable benefit that doesn't unduly create a price impact on small employer groups and affect their ability to provide health care coverage to their employees. This action allows us to provide a benefit for proven therapeutic services while research continues to identify effective treatments or medical solutions for children with autism."

Wayne Rohde is disappointed Blue Cross and Blue Shield of Oklahoma's autism policy does not cover behavioral therapy, which he says is the most important and most expensive treatment for children.

"We're creating a bigger problem down the road in the next few years," he says, "where the taxpayers will be on the hook to provide long-term care for these kids as they become adults."
Copyright © 2010, KFOR-TV
http://www.kfor.com/news/local/kfor-news-autism-bill-nicks-law-story,0,2313781.story

Tuesday, February 9, 2010

Lawmakers plan health, economic issues for session

Tahleguah Daily Press

By TEDDYE SNELL
Press Staff Writer
“It’s important that we get Nick’s Law to a vote of the people,” said Brown.


Brown is also spearheading HB 2902, which would provide insurance coverage to developmentally disabled dependents for a longer period of time. “This would allow parents who buy insurance coverage for their disabled children to extend the age of coverage to 25,” said Brown. “If it passes, it would be effective Nov. 1 of this year.”

Click here to read the entire article.