(a) As used in this Code section, the term: (1) "Accident and sickness contract, policy, or benefit plan" shall have the same meaning as found in Code Section 33-24-59.1. Accident and sickness contract, policy, or benefit plan shall also include without limitation any health benefit plan established pursuant to Article 1 of Chapter 18 of Title 45. (2) "Autism" means a developmental neurological disorder, usually
appearing in the first three years of life, which affects normal
brain functions and is manifested by compulsive, ritualistic
behavior and severely impaired social interaction and
communication skills. (b) An insurer that provides benefits for neurological disorders,
whether under a group or individual accident and sickness contract,
policy, or benefit plan, shall not deny providing benefits in
accordance with the conditions, schedule of benefits, limitations as
to type and scope of treatment authorized for neurological
disorders, exclusions, cost-sharing arrangements, or copayment
requirements which exist in such contract, policy, or benefit plan
for neurological disorders because of a diagnosis of autism. The
provisions of this subsection shall not expand the type or scope of
treatment beyond that authorized for any other diagnosed
neurological disorder. |