An Act To Amend Insurance Coverage for Diagnosis of Autism Spectmm Disorders
Maine Legislature, Session 126, LD 0347
Committee Amendment CA_A_S412 (Senate)

COMMITTEE AMENDMENT "A" to S.P. 127, L.D. 347, Bill, "An Act To 
Amend Insurance Coverage for Diagnosis of Autism Spectmm Disorders" 
Amend the bill in section 1 in subsection 2 in the first paragraph in the 3rd line (page 
1, line 6 in L.D.) by striking out the following: "ll" and inserting the following: 'lQ' 
Amend the bill in section 2 in subsection 2 in the first paragraph in the 3rd line (page 
1, line 29 in L.D.) by striking out the following: "21" and inserting the following: 'lQ' 
Amend the bill in section 3 in subsection 2 in the first paragraph in the 3rd line (page 
2, line 17 in L.D.) by striking out the following: "21" and inserting the following: 'lQ' 
Amend the bill in section 4 in the 3rd line (page 2, line 40 in L.D.) by striking out the 
following: "2014" and inserting the following: '2015' 
SUMMARY 
This amendment is the majority report of the committee. The amendment expands 
health insurance coverage for autism spectmm disorders to persons 10 years of age and 
under, whereas the bill expands it to persons 21 years of age and under. Current law 
requires coverage for persons 5 years of age and under. 
The provision applies to 
individual, group health and individual and group health maintenance organization 
insurance policies, contracts and certificates issued or renewed on or after January 1, 
2015. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 02/25114 .:b/ac 
LD347 
LR 683(02) 
An Act To Amend Insurance Coverage for Diagnosis of Autism Spectrum Disorders 
Fiscal Note for Bill as Amended by Committee Amendment ''A'{ S -4 J:;)) 
Committee: Insurance and Financial Services 
Net Cost (Savings) 
General Fund 
Highway Fund 
Appropriations/Allocations 
General Fund 
Highway Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
Potential future biennium savings - General Fund 
FY 2013-14 
$0 
$0 
$0 
$0 
FY 2014-15 
$0 
$0 
$0 
$0 
Projections 
FY 2015-16 
$42,897 
$16,042 
$42,897 
$16,042 
Projections 
FY 2016-17 
$46,334 
$17,328 
$46,334 
$17,328 
Expanding required coverage for autism spectrum disorders to children 10 years of age or under from the current law 
requirement of 5 years of age or under is estimated to have an overall cost to the State Employee Health Insurance 
Program of$101,100 in 2015-16 and $109,200 in 2016-17 based on an assumed cost 6fO.05% of total claims. Of this 
total, the cost to General Fund programs is estimated to be $42,897 in 2015-16 and $46,334 in 2016-17. The impact 
on Highway Fund programs is estimated to be $16,042 in 2015-16 and $17,328 in 2016-17. Because of the bill's 
effective date for plan years beginning on or after January 1,2015, it is not assumed to have an impact in the current 
biennium given the State's current July through June plan year. 
Based on its experience with the implementation of the required private insurance coverage to children up to age 5 and 
the lack of any significant third party savings realized, the Department of Health and Human Services does not believe 
the savings to the MaineCare program from the expansion to children up to 10 years of age will be significant. 
LR0683(02) - Fiscal Note - Pa2:e 1 of 1