BILL ANALYSIS                                                                                                                                                                                                    



          SENATE COMMITTEE ON APPROPRIATIONS
                             Senator Ricardo Lara, Chair
                            2015 - 2016  Regular  Session

          AB 796 (Nazarian) - Health care coverage:  autism and pervasive  
          developmental disorders
          
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          |Version: June 30, 2016          |Policy Vote: HEALTH 6 - 2,      |
          |                                |          HUMAN S. 5 - 0        |
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          |Urgency: No                     |Mandate: Yes                    |
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          |Hearing Date: August 11, 2016   |Consultant: Brendan McCarthy    |
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          *********** ANALYSIS ADDENDUM - SUSPENSE FILE ***********
             The following information is revised to reflect amendments 
                     adopted by the committee on August 11, 2016






          Bill  
          Summary:  AB 796 would delete the existing statutory sunset on  
          the mandate to provide health care coverage for behavioral  
          health treatment for autism and related disorders. 


          Fiscal  
          Impact:  
           One-time costs of about $50,000 and ongoing costs of $15,000  
            per year to review health plan filings for compliance with the  
            requirements of the bill and to undertake any necessary  
            enforcement actions by the Department of Managed Health Care  







          AB 796 (Nazarian)                                      Page 1 of  
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            (Managed Care Fund).

           Likely costs of less than $100,000 per year for review of  
            health insurance plan filings and enforcement actions by the  
            Department of Insurance (Insurance Fund).
            
           No state costs are anticipated due to the elimination of the  
            existing sunset on the benefit mandate. Current law exempts  
            Medi-Cal managed care plans and CalPERS coverage from the  
            benefit mandate. This bill does not eliminate those  
            exemptions, 
          
            While existing law specifically mandates coverage for  
            behavioral health treatment, separate federal and state mental  
            health parity requirements and requirements for the provision  
            of essential health benefits implicitly require coverage for  
            behavioral health treatment for autism and related disorders.  
            Therefore, elimination of the statutory sunset will not  
            materially impact coverage for behavioral health treatment.  
            Nor will eliminating the sunset require the state to pay for  
            the costs to subsidize coverage for behavioral health  
            treatment coverage for subsidized Covered California plans.


          Committee  
          Amendments:  Delete the requirement that the Department of  
          Developmental Services to update its regulations to set forth  
          minimum standards for autism service professionals and  
          paraprofessionals providing behavioral health treatments other  
          than applied behavioral analysis (ABA).


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