senate Bill S3044A

2013-2014 Legislative Session

Relates to the definition of autism and autism spectrum disorder

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Archive: Last Bill Status - In Committee


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor

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Actions

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Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 08, 2014 referred to mental health and developmental disabilities
Jun 21, 2013 committed to rules
Jun 11, 2013 advanced to third reading
Jun 10, 2013 2nd report cal.
Jun 05, 2013 1st report cal.1133
Apr 30, 2013 print number 3044a
amend (t) and recommit to mental health and developmental disabilities
Jan 29, 2013 referred to mental health and developmental disabilities

Votes

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Jun 5, 2013 - Mental Health and Developmental Disabilities committee Vote

S3044A
4
2
committee
4
Aye
2
Nay
5
Aye with Reservations
0
Absent
0
Excused
0
Abstained
show Mental Health and Developmental Disabilities committee vote details

Mental Health and Developmental Disabilities Committee Vote: Jun 5, 2013

nay (2)

Bill Amendments

Original
A (Active)
Original
A (Active)

Co-Sponsors

S3044 - Bill Details

Current Committee:
Law Section:
Mental Hygiene Law
Laws Affected:
Amd §1.03, Ment Hyg L; amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2013-2014 Legislative Session:
A1663

S3044 - Bill Texts

view summary

Relates to the definition of autism and autism spectrum disorder.

view sponsor memo
BILL NUMBER:S3044

TITLE OF BILL: An act to amend the mental hygiene law, in relation to
the definition of autism

PURPOSE OR GENERAL IDEA OF BILL: To insert into the mental hygiene law a
definition of autism and other autism spectrum disorders. The definition
is the currently generally accepted definition as set forth in the Amer-
ican Psychiatric Association's Diagnostic and Statistical Manual of
Mental Disorders (DSM).

SUMMARY OF SPECIFIC PROVISIONS:

Section 1 amends Section 1.03 of the mental hygiene law by adding a new
subdivision 59 to define autism to mean a pervasive developmental disor-
der that meets the criteria set forth in the subdivision, including
Autistic Disorder, Asperger's Disorder, Pervasive Developmental Disorder
Not Otherwise Specified, Rhett's Disorder and Childhood Disintegrative
Disorder.

Section 2 is the effective date.

JUSTIFICATION: Presently, New York's Mental Hygiene law fails to
include a definition of autism and other autism spectrum disorders even
though it refers to the terms.

The Mental Hygiene law should include a definition for disorders that
are referenced in the statute and which are now occurring in a signif-
icant numbers of our children. Currently at least 1 in 100 children are
diagnosed with autism or another autism spectrum disorder.

LEGISLATIVE HISTORY: A.9983, 2012 referred to Mental Health, reported
referred to ways and means. Same as S.7072 (McDonald), 2012 referred to
Mental Health and Developmental Disabilities.

FISCAL IMPLICATIONS: None to the State.

EFFECTIVE DATE: Immediately.

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                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  3044

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                            January 29, 2013
                               ___________

Introduced  by Sen. CARLUCCI -- read twice and ordered printed, and when
  printed to be committed to the Committee on Mental Health and Develop-
  mental Disabilities

AN ACT to amend the mental hygiene law, in relation to the definition of
  autism

  THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Section 1.03 of the mental hygiene law is amended by adding
a new subdivision 59 to read as follows:
  59.  "AUTISM"  MEANS A PERVASIVE DEVELOPMENTAL DISORDER THAT MEETS ANY
OF THE FOLLOWING CRITERIA:
  (A) AUTISTIC DISORDER, WHICH IS:
  (I) THE DIAGNOSES OF AT LEAST SIX OF THE FOLLOWING SYMPTOMS,  WITH  AT
LEAST  TWO  SYMPTOMS  COMING  FROM  CLAUSE ONE OF THIS SUBPARAGRAPH, ONE
SYMPTOM COMING FROM CLAUSE TWO OF THIS  SUBPARAGRAPH,  AND  ONE  SYMPTOM
COMING FROM CLAUSE THREE OF THIS SUBPARAGRAPH.
  (1)  QUALITATIVE IMPAIRMENT IN SOCIAL INTERACTION, AS MANIFESTED BY AT
LEAST TWO OF THE FOLLOWING:
  (A) MARKED IMPAIRMENT IN THE USE OF MULTIPLE, NONVERBAL BEHAVIORS SUCH
AS EYE-TO-EYE GAZE, FACIAL EXPRESSION, BODY POSTURES, AND  GESTURES,  TO
REGULATE SOCIAL INTERACTION.
  (B) FAILURE TO DEVELOP PEER RELATIONSHIPS APPROPRIATE TO DEVELOPMENTAL
LEVEL.
  (C)  A  LACK  OF SPONTANEOUS SEEKING TO SHARE ENJOYMENT, INTERESTS, OR
ACHIEVEMENTS WITH OTHER PEOPLE (E.G., BY A LACK OF SHOWING, BRINGING, OR
POINTING OUT OBJECTS OF INTEREST).
  (D) LACK OF SOCIAL OR EMOTIONAL RECIPROCITY.
  (2) QUALITATIVE IMPAIRMENTS IN COMMUNICATION AS MANIFESTED BY AT LEAST
ONE OF THE FOLLOWING:
  (A) DELAY IN, OR TOTAL LACK OF, THE  DEVELOPMENT  OF  SPOKEN  LANGUAGE
(NOT  ACCOMPANIED  BY AN ATTEMPT TO COMPENSATE THROUGH ALTERNATIVE MODES
OF COMMUNICATION SUCH AS GESTURE OR MIME).
  (B) IN INDIVIDUALS WITH ADEQUATE  SPEECH,  MARKED  IMPAIRMENT  IN  THE
ABILITY TO INITIATE OR SUSTAIN A CONVERSATION WITH OTHERS.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD02950-02-3

S. 3044                             2

  (C)  STEREOTYPED  AND  REPETITIVE  USE  OF  LANGUAGE  OR IDIOSYNCRATIC
LANGUAGE.
  (D)  LACK OF VARIED, SPONTANEOUS MAKE-BELIEVE PLAY OR SOCIAL IMITATIVE
PLAY APPROPRIATE TO DEVELOPMENTAL LEVEL.
  (3) RESTRICTED REPETITIVE AND STEREOTYPED PATTERNS OF BEHAVIOR, INTER-
ESTS, AND ACTIVITIES, AS MANIFESTED BY AT LEAST ONE OF THE FOLLOWING:
  (A) ENCOMPASSING  PREOCCUPATION  WITH  ONE  OR  MORE  STEREOTYPED  AND
RESTRICTED  PATTERNS OF INTEREST THAT IS ABNORMAL EITHER IN INTENSITY OR
FOCUS.
  (B)  APPARENTLY  INFLEXIBLE  ADHERENCE  TO   SPECIFIC,   NONFUNCTIONAL
ROUTINES OR RITUALS.
  (C)  STEREOTYPED  AND  REPETITIVE  MOTOR MANNERS (E.G., HAND OR FINGER
FLAPPING OR TWISTING, OR COMPLEX WHOLE-BODY MOVEMENTS).
  (D) PERSISTENT PREOCCUPATION WITH PARTS OF OBJECTS.
  (II) DELAYS OR ABNORMAL FUNCTIONING IN AT LEAST ONE OF  THE  FOLLOWING
AREAS, WITH ONSET PRIOR TO THREE YEARS OF AGE:
  (1) SOCIAL INTERACTION,
  (2) LANGUAGE AS USED IN SOCIAL COMMUNICATION, OR
  (3) SYMBOLIC OR IMAGINATIVE PLAY.
  (III)  THE  DISTURBANCE IS NOT BETTER ACCOUNTED FOR BY RETT'S DISORDER
OR CHILDHOOD DISINTEGRATIVE DISORDER.
  (B) ASPERGER'S DISORDER, WHICH IS:
  (I) QUALITATIVE IMPAIRMENT IN SOCIAL INTERACTION, AS MANIFESTED BY  AT
LEAST TWO OF THE FOLLOWING:
  (1)  MARKED IMPAIRMENT IN THE USE OF MULTIPLE NONVERBAL BEHAVIORS SUCH
AS EYE-TO-EYE GAZE, FACIAL EXPRESSION, BODY POSTURES,  AND  GESTURES  TO
REGULATE SOCIAL INTERACTION.
  (2) FAILURE TO DEVELOP PEER RELATIONSHIPS APPROPRIATE TO DEVELOPMENTAL
LEVEL.
  (3)  A  LACK  OF SPONTANEOUS SEEKING TO SHARE ENJOYMENT, INTERESTS, OR
ACHIEVEMENTS WITH OTHER PEOPLE (E.G., BY A LACK OF SHOWING, BRINGING, OR
POINTING OUT OBJECTS OF INTEREST TO OTHER PEOPLE).
  (4) LACK OF SOCIAL OR EMOTIONAL RECIPROCITY.
  (II) RESTRICTED  REPETITIVE  AND  STEREOTYPED  PATTERNS  OF  BEHAVIOR,
INTERESTS  AND  ACTIVITIES, AS MANIFESTED BY AT LEAST ONE OF THE FOLLOW-
ING:
  (1) ENCOMPASSING  PREOCCUPATION  WITH  ONE  OR  MORE  STEREOTYPED  AND
RESTRICTED  PATTERNS OF INTEREST THAT IS ABNORMAL EITHER IN INTENSITY OR
FOCUS.
  (2)  APPARENTLY  INFLEXIBLE  ADHERENCE  TO   SPECIFIC,   NONFUNCTIONAL
ROUTINES OR RITUALS.
  (3)  STEREOTYPED AND REPETITIVE MOTOR MANNERISMS (E.G., HAND OR FINGER
FLAPPING OR TWISTING, OR COMPLEX WHOLE-BODY MOVEMENTS).
  (4) PERSISTENT PREOCCUPATION WITH PARTS OF OBJECTS.
  (III) THE DISTURBANCE  CAUSES  CLINICALLY  SIGNIFICANT  IMPAIRMENT  IN
SOCIAL, OCCUPATIONAL, OR OTHER IMPORTANT AREAS OF FUNCTIONING.
  (IV)  THERE  IS  NO  CLINICALLY  SIGNIFICANT GENERAL DELAY IN LANGUAGE
(E.G., SINGLE WORDS USED BY AGE TWO, COMMUNICATIVE PHRASES USED  BY  AGE
THREE).
  (V)  THERE IS NO CLINICALLY SIGNIFICANT DELAY IN COGNITIVE DEVELOPMENT
OR IN THE DEVELOPMENT  OF  AGE-APPROPRIATE  SELF-HELP  SKILLS,  ADAPTIVE
BEHAVIOR  (OTHER  THAN  IN  SOCIAL INTERACTION), AND CURIOSITY ABOUT THE
ENVIRONMENT IN CHILDHOOD.
  (VI) CRITERIA ARE NOT MET FOR ANOTHER SPECIFIC PERVASIVE DEVELOPMENTAL
DISORDER OR SCHIZOPHRENIA.

S. 3044                             3

  (C) PERVASIVE DEVELOPMENTAL DISORDER NOT OTHERWISE SPECIFIED  (INCLUD-
ING  ATYPICAL  AUTISM),  WHICH  IS  WHEN THERE IS A SEVERE AND PERVASIVE
IMPAIRMENT IN THE DEVELOPMENT OF RECIPROCAL SOCIAL  INTERACTION  ASSOCI-
ATED  WITH IMPAIRMENT IN EITHER VERBAL OR NONVERBAL COMMUNICATION SKILLS
OR WITH THE PRESENCE OF STEREOTYPED BEHAVIOR, INTERESTS, AND ACTIVITIES,
BUT  THE  CRITERIA  ARE  NOT  MET FOR A SPECIFIC PERVASIVE DEVELOPMENTAL
DISORDER, SCHIZOPHRENIA, SCHIZOTYPAL PERSONALITY DISORDER,  OR  AVOIDANT
PERSONALITY  DISORDER.  FOR  EXAMPLE,  THIS  CATEGORY INCLUDES "ATYPICAL
AUTISM" - PRESENTATIONS THAT DO  NOT  MEET  THE  CRITERIA  FOR  AUTISTIC
DISORDER  BECAUSE  OF  LATE  AGE  AT  ONSET, ATYPICAL SYMPTOMATOLOGY, OR
SUBTHRESHOLD SYMPTOMATOLOGY, OR ALL OF THESE.
  (D) RETT'S DISORDER, WHICH IS:
  (I) THE DIAGNOSIS OF ALL OF THE FOLLOWING:
  (1) APPARENTLY NORMAL PRENATAL AND PERINATAL DEVELOPMENT.
  (2) APPARENTLY NORMAL PSYCHOMOTOR DEVELOPMENT THROUGH THE  FIRST  FIVE
MONTHS AFTER BIRTH.
  (3) NORMAL HEAD CIRCUMFERENCE AT BIRTH.
  (II) ONSET OF ALL OF THE FOLLOWING AFTER THE PERIOD OF NORMAL DEVELOP-
MENT:
  (1)   DECELERATION  OF  HEAD  GROWTH  BETWEEN  AGES  FIVE  MONTHS  AND
FORTY-EIGHT MONTHS.
  (2) LOSS OF PREVIOUSLY ACQUIRED PURPOSEFUL HAND  SKILLS  BETWEEN  AGES
FIVE  MONTHS AND THIRTY MONTHS WITH THE SUBSEQUENT DEVELOPMENT OF STERE-
OTYPED HAND MOVEMENTS (E.G., HAND-WRINGING OR HAND WASHING).
  (3) LOSS OF SOCIAL ENGAGEMENT EARLY  IN  THE  COURSE  (ALTHOUGH  OFTEN
SOCIAL INTERACTION DEVELOPS LATER).
  (4) APPEARANCE OF POORLY COORDINATED GAIT OR TRUNK MOVEMENTS.
  (5)  SEVERELY  IMPAIRED  EXPRESSIVE AND RECEPTIVE LANGUAGE DEVELOPMENT
WITH SEVERE PSYCHOMOTOR RETARDATION.
  (E) CHILDHOOD DISINTEGRATIVE DISORDER, WHICH IS:
  (I) APPARENTLY NORMAL DEVELOPMENT FOR AT LEAST  THE  FIRST  TWO  YEARS
AFTER  BIRTH AS MANIFESTED BY THE PRESENCE OF AGE-APPROPRIATE VERBAL AND
NONVERBAL COMMUNICATION, SOCIAL RELATIONSHIPS, PLAY, AND ADAPTIVE BEHAV-
IOR.
  (II) CLINICALLY SIGNIFICANT LOSS OF PREVIOUSLY ACQUIRED SKILLS (BEFORE
AGE TEN YEARS) IN AT LEAST TWO OF THE FOLLOWING AREAS:
  (1) EXPRESSIVE OR RECEPTIVE LANGUAGE.
  (2) SOCIAL SKILLS OR ADAPTIVE BEHAVIOR.
  (3) BOWEL OR BLADDER CONTROL.
  (4) PLAY.
  (5) MOTOR SKILLS.
  (III) ABNORMALITIES OF FUNCTIONING IN AT LEAST TWO  OF  THE  FOLLOWING
AREAS:
  (1)  QUALITATIVE IMPAIRMENT IN SOCIAL INTERACTION (E.G., IMPAIRMENT IN
NONVERBAL BEHAVIORS, FAILURE TO  DEVELOP  PEER  RELATIONSHIPS,  LACK  OF
SOCIAL OR EMOTIONAL RECIPROCITY).
  (2)  QUALITATIVE  IMPAIRMENTS IN COMMUNICATION (E.G., DELAY OR LACK OF
SPOKEN LANGUAGE, INABILITY TO INITIATE OR SUSTAIN A CONVERSATION, STERE-
OTYPED AND REPETITIVE USE  OF  LANGUAGE,  LACK  OF  VARIED  MAKE-BELIEVE
PLAY).
  (3)  RESTRICTED,  REPETITIVE,  AND  STEREOTYPED  PATTERNS OF BEHAVIOR,
INTEREST, AND ACTIVITIES, INCLUDING MOTOR STEREOTYPES AND MANNERISMS.
  (IV) THE DISTURBANCE IS NOT BETTER ACCOUNTED FOR BY  ANOTHER  SPECIFIC
PERVASIVE DEVELOPMENTAL DISORDER OR BY SCHIZOPHRENIA.
  S 2. This act shall take effect immediately.

Co-Sponsors

view additional co-sponsors

S3044A (ACTIVE) - Bill Details

Current Committee:
Law Section:
Mental Hygiene Law
Laws Affected:
Amd §1.03, Ment Hyg L; amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2013-2014 Legislative Session:
A1663

S3044A (ACTIVE) - Bill Texts

view summary

Relates to the definition of autism and autism spectrum disorder.

view sponsor memo
BILL NUMBER:S3044A

TITLE OF BILL: An act to amend the mental hygiene law and the
insurance law, in relation to the definition of autism and autism
spectrum disorder

PURPOSE OR GENERAL IDEA OF BILL:

To insert into the mental hygiene law a definition of autism and other
autism spectrum disorders. The definition is the currently generally
accepted definition as set forth in the American Psychiatric
Association's Diagnostic and Statistical Manual of Mental Disorders
(DSM).

SUMMARY OF SPECIFIC PROVISIONS:

Section 1 amends Section 1.03 of the mental hygiene law by adding a
new subdivision 59 to define autism to mean a pervasive developmental
disorder that meets the criteria set forth in the subdivision,
including Autistic Disorder, Asperger's Disorder, Pervasive
Developmental Disorder Not Otherwise Specified, Rhett's Disorder and
Childhood Disintegrative Disorder.

Sections 2-4- makes conforming changes to the Insurance law.

Section 5. Effective date.

JUSTIFICATION:

Presently, New York's Mental Hygiene law fails to include a definition
of autism and other autism spectrum disorders even though it refers to
the terms.

The Mental Hygiene law should include a definition for disorders that
are referenced in the statute and which are now occurring in a
significant numbers of our children. Currently at least 1 in 104
children are diagnosed with autism or another autism spectrum
disorder.

LEGISLATIVE HISTORY:

A.9983, 2012 referred to Mental Health, reported referred to ways and
means. Same as S.7072 (McDonald), 2012 referred to Mental Health and
Developmental Disabilities.

FISCAL IMPLICATIONS:

Needs to be determined

EFFECTIVE DATE:

Immediately.

view full text
download pdf
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                 3044--A

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                            January 29, 2013
                               ___________

Introduced  by  Sens.  CARLUCCI,  AVELLA, DeFRANCISCO, KLEIN, LATIMER --
  read twice and ordered printed, and when printed to  be  committed  to
  the  Committee  on  Mental  Health  and  Developmental Disabilities --
  committee discharged, bill amended, ordered reprinted as  amended  and
  recommitted to said committee

AN  ACT  to  amend  the  mental  hygiene  law  and the insurance law, in
  relation to the definition of autism and autism spectrum disorder

  THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Section 1.03 of the mental hygiene law is amended by adding
a new subdivision 59 to read as follows:
  59.  "AUTISM"  MEANS A PERVASIVE DEVELOPMENTAL DISORDER THAT MEETS ANY
OF THE FOLLOWING CRITERIA:
  (A) AUTISTIC DISORDER, WHICH IS:
  (I) THE DIAGNOSES OF AT LEAST SIX OF THE FOLLOWING SYMPTOMS,  WITH  AT
LEAST  TWO  SYMPTOMS  COMING  FROM  CLAUSE ONE OF THIS SUBPARAGRAPH, ONE
SYMPTOM COMING FROM CLAUSE TWO OF THIS  SUBPARAGRAPH,  AND  ONE  SYMPTOM
COMING FROM CLAUSE THREE OF THIS SUBPARAGRAPH.
  (1)  QUALITATIVE IMPAIRMENT IN SOCIAL INTERACTION, AS MANIFESTED BY AT
LEAST TWO OF THE FOLLOWING:
  (A) MARKED IMPAIRMENT IN THE USE OF MULTIPLE, NONVERBAL BEHAVIORS SUCH
AS EYE-TO-EYE GAZE, FACIAL EXPRESSION, BODY POSTURES, AND  GESTURES,  TO
REGULATE SOCIAL INTERACTION.
  (B) FAILURE TO DEVELOP PEER RELATIONSHIPS APPROPRIATE TO DEVELOPMENTAL
LEVEL.
  (C)  A  LACK  OF SPONTANEOUS SEEKING TO SHARE ENJOYMENT, INTERESTS, OR
ACHIEVEMENTS WITH OTHER PEOPLE (E.G., BY A LACK OF SHOWING, BRINGING, OR
POINTING OUT OBJECTS OF INTEREST).
  (D) LACK OF SOCIAL OR EMOTIONAL RECIPROCITY.
  (2) QUALITATIVE IMPAIRMENTS IN COMMUNICATION AS MANIFESTED BY AT LEAST
ONE OF THE FOLLOWING:

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD02950-03-3

S. 3044--A                          2

  (A) DELAY IN, OR TOTAL LACK OF, THE  DEVELOPMENT  OF  SPOKEN  LANGUAGE
(NOT  ACCOMPANIED  BY AN ATTEMPT TO COMPENSATE THROUGH ALTERNATIVE MODES
OF COMMUNICATION SUCH AS GESTURE OR MIME).
  (B)  IN  INDIVIDUALS  WITH  ADEQUATE  SPEECH, MARKED IMPAIRMENT IN THE
ABILITY TO INITIATE OR SUSTAIN A CONVERSATION WITH OTHERS.
  (C) STEREOTYPED  AND  REPETITIVE  USE  OF  LANGUAGE  OR  IDIOSYNCRATIC
LANGUAGE.
  (D)  LACK OF VARIED, SPONTANEOUS MAKE-BELIEVE PLAY OR SOCIAL IMITATIVE
PLAY APPROPRIATE TO DEVELOPMENTAL LEVEL.
  (3) RESTRICTED REPETITIVE AND STEREOTYPED PATTERNS OF BEHAVIOR, INTER-
ESTS, AND ACTIVITIES, AS MANIFESTED BY AT LEAST ONE OF THE FOLLOWING:
  (A) ENCOMPASSING  PREOCCUPATION  WITH  ONE  OR  MORE  STEREOTYPED  AND
RESTRICTED  PATTERNS OF INTEREST THAT IS ABNORMAL EITHER IN INTENSITY OR
FOCUS.
  (B)  APPARENTLY  INFLEXIBLE  ADHERENCE  TO   SPECIFIC,   NONFUNCTIONAL
ROUTINES OR RITUALS.
  (C)  STEREOTYPED  AND  REPETITIVE  MOTOR MANNERS (E.G., HAND OR FINGER
FLAPPING OR TWISTING, OR COMPLEX WHOLE-BODY MOVEMENTS).
  (D) PERSISTENT PREOCCUPATION WITH PARTS OF OBJECTS.
  (II) DELAYS OR ABNORMAL FUNCTIONING IN AT LEAST ONE OF  THE  FOLLOWING
AREAS, WITH ONSET PRIOR TO THREE YEARS OF AGE:
  (1) SOCIAL INTERACTION,
  (2) LANGUAGE AS USED IN SOCIAL COMMUNICATION, OR
  (3) SYMBOLIC OR IMAGINATIVE PLAY.
  (III)  THE  DISTURBANCE IS NOT BETTER ACCOUNTED FOR BY RETT'S DISORDER
OR CHILDHOOD DISINTEGRATIVE DISORDER.
  (B) ASPERGER'S DISORDER, WHICH IS:
  (I) QUALITATIVE IMPAIRMENT IN SOCIAL INTERACTION, AS MANIFESTED BY  AT
LEAST TWO OF THE FOLLOWING:
  (1)  MARKED IMPAIRMENT IN THE USE OF MULTIPLE NONVERBAL BEHAVIORS SUCH
AS EYE-TO-EYE GAZE, FACIAL EXPRESSION, BODY POSTURES,  AND  GESTURES  TO
REGULATE SOCIAL INTERACTION.
  (2) FAILURE TO DEVELOP PEER RELATIONSHIPS APPROPRIATE TO DEVELOPMENTAL
LEVEL.
  (3)  A  LACK  OF SPONTANEOUS SEEKING TO SHARE ENJOYMENT, INTERESTS, OR
ACHIEVEMENTS WITH OTHER PEOPLE (E.G., BY A LACK OF SHOWING, BRINGING, OR
POINTING OUT OBJECTS OF INTEREST TO OTHER PEOPLE).
  (4) LACK OF SOCIAL OR EMOTIONAL RECIPROCITY.
  (II) RESTRICTED  REPETITIVE  AND  STEREOTYPED  PATTERNS  OF  BEHAVIOR,
INTERESTS  AND  ACTIVITIES, AS MANIFESTED BY AT LEAST ONE OF THE FOLLOW-
ING:
  (1) ENCOMPASSING  PREOCCUPATION  WITH  ONE  OR  MORE  STEREOTYPED  AND
RESTRICTED  PATTERNS OF INTEREST THAT IS ABNORMAL EITHER IN INTENSITY OR
FOCUS.
  (2)  APPARENTLY  INFLEXIBLE  ADHERENCE  TO   SPECIFIC,   NONFUNCTIONAL
ROUTINES OR RITUALS.
  (3)  STEREOTYPED AND REPETITIVE MOTOR MANNERISMS (E.G., HAND OR FINGER
FLAPPING OR TWISTING, OR COMPLEX WHOLE-BODY MOVEMENTS).
  (4) PERSISTENT PREOCCUPATION WITH PARTS OF OBJECTS.
  (III) THE DISTURBANCE  CAUSES  CLINICALLY  SIGNIFICANT  IMPAIRMENT  IN
SOCIAL, OCCUPATIONAL, OR OTHER IMPORTANT AREAS OF FUNCTIONING.
  (IV)  THERE  IS  NO  CLINICALLY  SIGNIFICANT GENERAL DELAY IN LANGUAGE
(E.G., SINGLE WORDS USED BY AGE TWO, COMMUNICATIVE PHRASES USED  BY  AGE
THREE).
  (V)  THERE IS NO CLINICALLY SIGNIFICANT DELAY IN COGNITIVE DEVELOPMENT
OR IN THE DEVELOPMENT  OF  AGE-APPROPRIATE  SELF-HELP  SKILLS,  ADAPTIVE

S. 3044--A                          3

BEHAVIOR  (OTHER  THAN  IN  SOCIAL INTERACTION), AND CURIOSITY ABOUT THE
ENVIRONMENT IN CHILDHOOD.
  (VI) CRITERIA ARE NOT MET FOR ANOTHER SPECIFIC PERVASIVE DEVELOPMENTAL
DISORDER OR SCHIZOPHRENIA.
  (C)  PERVASIVE DEVELOPMENTAL DISORDER NOT OTHERWISE SPECIFIED (INCLUD-
ING ATYPICAL AUTISM), WHICH IS WHEN THERE  IS  A  SEVERE  AND  PERVASIVE
IMPAIRMENT  IN  THE DEVELOPMENT OF RECIPROCAL SOCIAL INTERACTION ASSOCI-
ATED WITH IMPAIRMENT IN EITHER VERBAL OR NONVERBAL COMMUNICATION  SKILLS
OR WITH THE PRESENCE OF STEREOTYPED BEHAVIOR, INTERESTS, AND ACTIVITIES,
BUT  THE  CRITERIA  ARE  NOT  MET FOR A SPECIFIC PERVASIVE DEVELOPMENTAL
DISORDER, SCHIZOPHRENIA, SCHIZOTYPAL PERSONALITY DISORDER,  OR  AVOIDANT
PERSONALITY  DISORDER.  FOR  EXAMPLE,  THIS  CATEGORY INCLUDES "ATYPICAL
AUTISM" - PRESENTATIONS THAT DO  NOT  MEET  THE  CRITERIA  FOR  AUTISTIC
DISORDER  BECAUSE  OF  LATE  AGE  AT  ONSET, ATYPICAL SYMPTOMATOLOGY, OR
SUBTHRESHOLD SYMPTOMATOLOGY, OR ALL OF THESE.
  (D) RETT'S DISORDER, WHICH IS:
  (I) THE DIAGNOSIS OF ALL OF THE FOLLOWING:
  (1) APPARENTLY NORMAL PRENATAL AND PERINATAL DEVELOPMENT.
  (2) APPARENTLY NORMAL PSYCHOMOTOR DEVELOPMENT THROUGH THE  FIRST  FIVE
MONTHS AFTER BIRTH.
  (3) NORMAL HEAD CIRCUMFERENCE AT BIRTH.
  (II) ONSET OF ALL OF THE FOLLOWING AFTER THE PERIOD OF NORMAL DEVELOP-
MENT:
  (1)   DECELERATION  OF  HEAD  GROWTH  BETWEEN  AGES  FIVE  MONTHS  AND
FORTY-EIGHT MONTHS.
  (2) LOSS OF PREVIOUSLY ACQUIRED PURPOSEFUL HAND  SKILLS  BETWEEN  AGES
FIVE  MONTHS AND THIRTY MONTHS WITH THE SUBSEQUENT DEVELOPMENT OF STERE-
OTYPED HAND MOVEMENTS (E.G., HAND-WRINGING OR HAND WASHING).
  (3) LOSS OF SOCIAL ENGAGEMENT EARLY  IN  THE  COURSE  (ALTHOUGH  OFTEN
SOCIAL INTERACTION DEVELOPS LATER).
  (4) APPEARANCE OF POORLY COORDINATED GAIT OR TRUNK MOVEMENTS.
  (5)  SEVERELY  IMPAIRED  EXPRESSIVE AND RECEPTIVE LANGUAGE DEVELOPMENT
WITH SEVERE PSYCHOMOTOR RETARDATION.
  (E) CHILDHOOD DISINTEGRATIVE DISORDER, WHICH IS:
  (I) APPARENTLY NORMAL DEVELOPMENT FOR AT LEAST  THE  FIRST  TWO  YEARS
AFTER  BIRTH AS MANIFESTED BY THE PRESENCE OF AGE-APPROPRIATE VERBAL AND
NONVERBAL COMMUNICATION, SOCIAL RELATIONSHIPS, PLAY, AND ADAPTIVE BEHAV-
IOR.
  (II) CLINICALLY SIGNIFICANT LOSS OF PREVIOUSLY ACQUIRED SKILLS (BEFORE
AGE TEN YEARS) IN AT LEAST TWO OF THE FOLLOWING AREAS:
  (1) EXPRESSIVE OR RECEPTIVE LANGUAGE.
  (2) SOCIAL SKILLS OR ADAPTIVE BEHAVIOR.
  (3) BOWEL OR BLADDER CONTROL.
  (4) PLAY.
  (5) MOTOR SKILLS.
  (III) ABNORMALITIES OF FUNCTIONING IN AT LEAST TWO  OF  THE  FOLLOWING
AREAS:
  (1)  QUALITATIVE IMPAIRMENT IN SOCIAL INTERACTION (E.G., IMPAIRMENT IN
NONVERBAL BEHAVIORS, FAILURE TO  DEVELOP  PEER  RELATIONSHIPS,  LACK  OF
SOCIAL OR EMOTIONAL RECIPROCITY).
  (2)  QUALITATIVE  IMPAIRMENTS IN COMMUNICATION (E.G., DELAY OR LACK OF
SPOKEN LANGUAGE, INABILITY TO INITIATE OR SUSTAIN A CONVERSATION, STERE-
OTYPED AND REPETITIVE USE  OF  LANGUAGE,  LACK  OF  VARIED  MAKE-BELIEVE
PLAY).
  (3)  RESTRICTED,  REPETITIVE,  AND  STEREOTYPED  PATTERNS OF BEHAVIOR,
INTEREST, AND ACTIVITIES, INCLUDING MOTOR STEREOTYPES AND MANNERISMS.

S. 3044--A                          4

  (IV) THE DISTURBANCE IS NOT BETTER ACCOUNTED FOR BY  ANOTHER  SPECIFIC
PERVASIVE DEVELOPMENTAL DISORDER OR BY SCHIZOPHRENIA.
  S 2. Clause (i) of subparagraph (C) of paragraph 25 of subdivision (i)
of  section  3216 of the insurance law, as amended by chapter 596 of the
laws of 2011, is amended to read as follows:
  (i) "autism  spectrum  disorder"  means  any  pervasive  developmental
disorder  as  defined  in [the most recent edition of the diagnostic and
statistical manual of mental  disorders,  including  autistic  disorder,
Asperger's disorder, Rett's disorder, childhood disintegrative disorder,
or  pervasive  developmental disorder not otherwise specified (PDD-NOS)]
SUBDIVISION FIFTY-NINE OF SECTION 1.03 OF THE MENTAL HYGIENE LAW.
  S 3. Clause (i) of subparagraph (C) of paragraph 17 of subdivision (1)
of section 3221 of the insurance law, as amended by chapter 596  of  the
laws of 2011, is amended to read as follows:
  (i)  "autism  spectrum  disorder"  means  any  pervasive developmental
disorder as defined in [the most recent edition of  the  diagnostic  and
statistical  manual  of  mental  disorders, including autistic disorder,
Asperger's disorder, Rett's disorder, childhood disintegrative disorder,
or pervasive developmental disorder not otherwise  specified  (PDD-NOS)]
SUBDIVISION FIFTY-NINE OF SECTION 1.03 OF THE MENTAL HYGIENE LAW.
  S  4.  Subparagraph  (A) of paragraph 3 of subdivision (ee) of section
4303 of the insurance law, as amended by chapter  596  of  the  laws  of
2011, is amended to read as follows:
  (A)  "autism  spectrum  disorder"  means  any  pervasive developmental
disorder as defined in [the most recent edition of  the  diagnostic  and
statistical  manual  of  mental  disorders, including autistic disorder,
Asperger's disorder, Rett's disorder, childhood disintegrative disorder,
or pervasive developmental disorder not otherwise  specified  (PDD-NOS)]
SUBDIVISION FIFTY-NINE OF SECTION 1.03 OF THE MENTAL HYGIENE LAW.
  S 5. This act shall take effect immediately.

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