Bill Text: MI HB4059 | 2021-2022 | 101st Legislature | Chaptered
Bill Title: Human services: medical services; autism evaluation review process requirements for Medicaid benefit eligibility; modify. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109n.
Spectrum: Partisan Bill (Republican 5-0)
Status: (Passed) 2021-11-30 - Assigned Pa 111'21 [HB4059 Detail]
Download: Michigan-2021-HB4059-Chaptered.html
Act No. 111
Public Acts of 2021
Approved by the Governor
November 10, 2021
Filed with the Secretary of State
November 10, 2021
EFFECTIVE DATE: Sine Die
state of michigan
101st Legislature
Regular session of 2021
Introduced by Reps. Wendzel, Frederick, Mueller, Wozniak and Bezotte
ENROLLED HOUSE BILL No. 4059
AN ACT to amend 1939 PA 280, entitled “An act to protect the welfare of the people of this state; to provide general assistance, hospitalization, infirmary and medical care to poor or unfortunate persons; to provide for compliance by this state with the social security act; to provide protection, welfare and services to aged persons, dependent children, the blind, and the permanently and totally disabled; to administer programs and services for the prevention and treatment of delinquency, dependency and neglect of children; to create a state department of social services; to prescribe the powers and duties of the department; to provide for the interstate and intercounty transfer of dependents; to create county and district departments of social services; to create within certain county departments, bureaus of social aid and certain divisions and offices thereunder; to prescribe the powers and duties of the departments, bureaus and officers; to provide for appeals in certain cases; to prescribe the powers and duties of the state department with respect to county and district departments; to prescribe certain duties of certain other state departments, officers, and agencies; to make an appropriation; to prescribe penalties for the violation of the provisions of this act; and to repeal certain parts of this act on specific dates,” (MCL 400.1 to 400.119b) by adding section 109n.
The People of the State of Michigan enact:
Sec. 109n. (1) If the initial evaluation was completed by a qualified licensed practitioner, a child with a confirmed diagnosis of autism spectrum disorder is not required to have a re-evaluation to determine continued eligibility for behavioral health treatment unless a re-evaluation is medically necessary.
(2) As used in this section, “qualified licensed practitioner” means 1 of the following:
(a) A physician with a specialty in psychiatry or neurology.
(b) A physician with a subspecialty in developmental pediatrics, development-behavioral pediatrics, or a related discipline.
(c) A physician with a specialty in pediatrics or other appropriate specialty with training, experience, or expertise in autism spectrum disorder or behavioral health.
(d) A psychologist with a specialty in clinical child psychology, behavioral and cognitive psychology, or clinical neuropsychology, or other appropriate specialty with training, experience, or expertise in autism spectrum disorder or behavioral health.
(e) A clinical social worker with at least 1 year of experience working within his or her scope of practice who is qualified and experienced in diagnosing autism spectrum disorder.
(f) An advanced practice registered nurse with training, experience, or expertise in autism spectrum disorder or behavioral health.
(g) A physician’s assistant with training, experience, or expertise in autism spectrum disorder or behavioral health.
Clerk of the House of Representatives
Secretary of the Senate
Approved___________________________________________
____________________________________________________
Governor
