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State Autism Profiles: New Hampshire

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DEMOGRAPHICS

In 2000, 397 or 1.32% of children ages 3-21 who received special education services in New Hampshire have autism. In 2014-2015, 2,573 or 8.88% of children with disabilities ages 3-21 who received special education services have autism.

Table 1-1: IDEA Part B - Children with Autism in New Hampshire for 1999-2000 and 2014-2015
(Child Count by Age Group)

  1999-20002014-2015
Age 3-5

 55

317

Age 6-21

 342

2,256

Age 3-21

 397

2,573

Source: Reported by the State of New Hampshire in accordance with Section 618 of IDEA to U.S. Department of Education, Office of Special Education Programs

Table 1-2: IDEA Part B - Children with Disabilities in New Hampshire for 1999-2000 and 2014-2015
(Child Count by Age Group)

  1999-20002014-2015
Age 3-5

 2,387

3,332

Age 6-11

 12,077

11,068

Age 12-17

14,145 

13,346

Age 18-21

 1,468

1,232

Age 6-21

 27,690

25,646

Age 3-21

 30,077

28,978

Source: Reported by the State of New Hampshire in accordance with Section 618 of IDEA to U.S. Department of Education, Office of Special Education Programs

STATE TASK FORCE

New Hampshire Commission on Autism Spectrum Disorders
H.B. 396 was introduced in January 2007 and signed into law by Gov. John Lynch to create a commission on autism spectrum disorders. Under the legislation, the commission will meet to review the needs of individuals with autism spectrum disorders in the state. Members of the commission included legislative officials, representatives from state agencies, and other professionals with an interest in autism. The commission will prepare a report of its findings and recommendations, including any proposed legislation, to the speaker of the house, president of the senate, house and senate clerks, the governor, and state library. The New Hampshire Department of Health and Human Services serves as the lead agency. Rep. Suzanne S. Butcher served as the chair. The commission released its report on May 13, 2008.
http://www.nhcouncilonasd.org/CouncilFiles/NH_Report.pdf

New Hampshire Council on Autism Spectrum Disorders
H.B. 1634 was introduced in the legislature in March 2008, creating the New Hampshire Council on Autism Spectrum Disorders, as a follow-up to one of the recommendations proposed by the New Hampshire Commission on Autism Spectrum Disorders. H.B. 1634 was passed and adopted by the Senate on May 15, 2008 and was signed by Gov. John Lynch on June 11, 2008. Under the legislation, the primary function of the council is to coordinate services to parents and families. The council also advises state agencies in implementing recommendations outlined in the commission’s report.
http://www.nhcouncilonasd.org/

In the 2013 session, the legislature passed H.B. 236 to broaden membership of the Council to include increased representation by individuals who experience an autism spectrum disorder.
http://openstates.org/nh/bills/2013/HB236/documents/NHD00003606/

STATE INSURANCE COVERAGE

H.B. 569 or – “Connor’s Law” – was signed into law on July 23, 2010 amending New Hampshire’s existing mental health parity law. Connor’s Law includes treatment for autism spectrum disorders as provided by a licensed physician or psychologist and includes habilitative or rehabilitative care, pharmacy care, psychiatric care, psychological care, or therapeutic care. There is a maximum benefit for applied behavioral analysis of $36,000 for children ages 0 to 12 and a maximum benefit of $27,000 for children ages 13 to 21. An insurer may require a treatment plan stating that the treatment is medically necessary and is consistent with nationally recognized treatment standards. N.H. Rev. Stat. Ann. § 417-E:2 (2010 N.H. Laws, Chap. 363; H.B. 569 of 2010)

ESSENTIAL HEALTH BENEFITS

Under the Affordable Care Act, New Hampshire will continue to offer autism services including applied behavior analysis (ABA) on its federally-run exchange. New Hampshire’s benchmark plan has not categorized autism services or ABA as falling under one of the ten essential health benefits. It is in a stand-alone category of “other.”
(Matthew Thornton Health Plan (Anthem BCBS); Matthew Thornton Blue)

MEDICAID

New Hampshire Home and Community-Based Services Waiver: NH BDS Developmental Services
This waiver, implemented September 1, 1987 provides day services, residential habilitation/personal care, respite, service coordination, supported employment, assistive technology support, community support, crisis response, environmental and vehicle mods, participant directed and managed services, specialty services for individuals with autism, developmental disabilities and intellectual disabilities with no age limitations. This waiver was set to expire August 31, 2016, but CMS and the State still show it to be active.

New Hampshire Home and Community-Based Services Waiver: NH In Home Supports for Children w/DD
This waiver, implemented on January 1, 2011, provides enhanced personal care, consultations, environmental and vehicle modifications, family support and service coordination, and respite care for individuals up until age 21 with autism, intellectual disabilities, and developmental disabilities. This waiver expires on December 31, 2015.
http://medicaidwaiver.org/state/new_hampshire.html

OTHER STATE RESOURCES

In 2006, H.B. 1709 was signed into law allowing the New Hampshire Department of Health and Human Services to create an autism registry. The registry will contain all reported cases of autism spectrum disorder in the state of New Hampshire. All new cases of autism spectrum disorder are to be reported by physicians, psychologists, or other licensed health care providers trained to make a diagnosis of autism spectrum disorder. The Department of Health and Human Services will maintain confidentiality of all information recorded in the registry.
http://www.dhhs.nh.gov/dcbcs/bds/registry.htm

STATE LEGISLATIVE CALENDAR

The New Hampshire General Court meets in Regular Session annually on the first Wednesday in January. The 2016 session convened in Regular Session on January 6, 2015 and is expected to adjourn on June 2, 2016. The 2017 session is expected to begin on January 4, 2017.
http://gencourt.state.nh.us/

Sponsors of Autism Legislation

  • None at this time.

Prepared by Easterseals, Inc.; November 2016.

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