H.R. 2943: Gabriel Rosenberg Dyspraxia/DCD Coverage Act

This bill, known as the Gabriel Rosenberg Dyspraxia/DCD Coverage Act, aims to direct the Comptroller General of the United States to conduct a study on health insurance coverage specifically related to dyspraxia and developmental coordination disorder (DCD). Below are the key points of what the bill entails:

Study Requirements

Within one year of the bill's enactment, the Comptroller General is required to:

• Analyze coverage of treatments for dyspraxia/DCD under group health plans and health insurance policies, including both group and individual plans.
• Examine coverage provided by Federal health care programs and identify if there is any coverage for these conditions under:
  • Medicare
  • Medicaid programs specific to each state
  • Other Federal health care programs
• Evaluate how much coverage is typically provided for treatments and services related to dyspraxia/DCD under different health plans.
• Identify any age cutoffs that might restrict coverage for individuals transitioning from childhood to adulthood.
• Investigate barriers to accessing coverage, such as the availability of treatment providers.
• Assess whether existing health plans are complying with legal requirements regarding coverage for these conditions.
• Determine if children diagnosed with dyspraxia/DCD lose coverage as they become adults due to diagnostic criteria changes.
• Provide recommendations for the Centers for Medicare & Medicaid Services regarding potential guidance for coverage under Medicare and Medicaid.
• Offer suggestions for improving coverage within group health plans and individual health insurance policies.

Focus on Specific Conditions

The bill highlights the importance of exploring coverage for:

• Items and services related to the treatment of dyspraxia/DCD.
• Understanding how coverage varies by state and by the type of health insurance plan.
• Identifying differences in coverage across age groups, especially concerning transition periods from childhood to adulthood.

Intended Outcomes

The expected outcome of the study is to provide comprehensive insights into:

• The availability and extent of coverage for individuals with dyspraxia/DCD.
• Challenges faced by patients in obtaining necessary treatment and support.
• Opportunities for policy improvement to better support those affected by these conditions.

Implementation and Oversight

After the study is completed, the findings will be reported to Congress, which may influence future legislation or changes in health care policy regarding coverage for dyspraxia and developmental coordination disorder.

Relevant Companies

None found