Senate rejects autism-insurance bill
Published: February 11, 2009
Updated: February 11, 2009
The state Senate has rejected for the year efforts to force insurance companies to pay for treatment for children with autism.
The emotionally fraught measure, Senate Bill 1260 by Sen. Jill Holtzman Vogel, R-Fauquier, had been watered down. She initially sought mandated coverage through age 21, but it was slashed to age 6 by the Senate Commerce and Labor Committee.
Another blow to the bill came when the Senate Finance Committee tacked on language that said if the state couldn’t find the money, it would not provide coverage for government workers.
That angered Sen. Frank W. Wagner, R-Virginia Beach. Saying it was unfair to exclude public employees, while requiring benefits for private-sector workers, he said, “We ought to have the guts to go into our own budget and find the bucks for it.“
Rather than put the bill to vote last night, senators instead buried it on a parliamentary move, returning the measure to the Finance Committee, which no longer can consider Senate-written legislation.
“The legislative process is an ugly process, and this has been particularly ugly,“ said Sen. Kenneth W. Stolle, R-Virginia Beach, who proposed sending the bill back to the money panel.
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Court says vaccine is not to blame for autism
WASHINGTON (AP) - In a big blow to parents who believe vaccines caused their children’s autism, a special court ruled Thursday that the shots are not to blame. The court said the evidence was overwhelmingly contrary to the parents’ claims - and backed years of science that found no risk.
“It was abundantly clear that petitioners’ theories of causation were speculative and unpersuasive,“ the court concluded in one of a trio of cases ruled on Thursday.
The ruling was anxiously awaited by health authorities and families who began presenting evidence in June 2007. More than 5,500 claims have been filed by families seeking compensation through the government’s Vaccine Injury Compensation Program. The claims are reviewed by special masters serving on the U.S. Court of Claims.
“Hopefully, the determination by the special masters will help reassure parents that vaccines do not cause autism,“ the Department of Health and Human Services said in a statement.
An attorney for the families did not respond immediately to a request for comment. But the head of one consumer group that questions vaccine safety, the National Vaccine Information Center, said the court’s ruling will do little to change the minds of most parents who suspect a link between vaccines and autism. She said more studies are needed.
“I think it is a mistake to conclude that, because these few test cases were denied compensation, it’s been decided vaccines don’t play any role in regressive autism,“ said Barbara Loe Fisher, the center’s president.
To win, the families’ attorneys had to show that it was more likely than not that the autistic symptoms in the children were directly related to a combination of the measles-mumps-rubella shots and other shots that at the time carried a mercury-containing preservative called thimerosal. The ruling means that families filing claims based on that theory - potentially thousands - aren’t entitled to federal compensation, though they can appeal.
“It’s a great day for science, it’s a great day for America’s children when the court rules in favor of science.“ said Dr. Paul Offit of the Children’s Hospital of Philadelphia.
The court still has to rule on separate claims from other families who contend that, rather than a specific vaccine combination, the lone culprit could be thimerosal, a preservative that is no longer in most routine children’s vaccines. But in Thursday’s rulings, the court may have sent a signal on those cases, too:
“The petitioners have failed to demonstrate that thimerosal-containing vaccines can contribute to causing immune dysfunction,“ one of the court’s special masters wrote.
In 2001, parents of children with autism began filing petitions for compensation through the vaccine compensation program. Of the 12,850 cases ever filed through the program, about 5,535 represented autism cases.
The petitioners originally sought to present three different theories of how vaccines could cause autism. For each theory, there were to be three test cases.
Under the government’s vaccine compensation program, awards to the estate in a vaccine-related death are limited to $250,000 plus attorneys’ fees and costs. Awards to individuals with an injury judged to be vaccine-related have averaged more than $1 million.
More than half a million U.S. children have autism with costly health care needs that often put an unprecedented financial strain on their families, national data show. Autism is characterized by impaired social interaction. Those affected often have trouble communicating, and they exhibit unusual or severely limited activities and interests.
The Gov’t doesn’t seem to have a problem giving health care to illegal aliens or providing SS payments to a CA. mom with 14 children. VA doesn’t have a problem giving out food stamps, while the person using them pays cash for the lottery tickets and cigarettes. Yet when we have a growing problem with autism, that somehow can’t be covered. The General Assembly gets their pay increases though.
None of us would be where we are without help! The incidence of autism should be of great concern to everyone in Virginia. The research community does not know what causes it or which families it will touch. Any parents can have a child with autism. No one can tell you they are safe or it’s not their problem. What we do know is that children who do not receive medical interventions are most likely going to need state support as they grow up and for their entire lives. This support costs huge amounts of money, state money from all you taxpayers. The CDC estimates the incidence of autism is 1 in 150 live births and the number of autistic children is increasing every year. We do know that medical interventions such as ABA, OT, ST, and PT can help reach many of these children and change their level of functionality from severely disabled to independently functioning individuals who succeed in school, and even make the honor roll.
There are many wonderful General Assembly members who have fought long and hard for this bill. They are compassionate, responsible representative, even those members who did not agree but took time to listen and learn about autism. However, those that required their members to vote along party line need to think twice. We have been a country divided by party ideology for too long. Autism knows no party affiliation.
People are concerned about the almighty dollar is correct. Millions have lost their jobs, millions have lost their homes, millions have lost their retirement savings. Many more millions have seen their hours, pay and benefits reduced. The economic downturn is far from over. Chesterfield is cutting 525 employees from the school system because they are 52 million in the red. The Commonwealth of Virginia has a 3+ Billion dollar budget shortfall. There is no way to increase costs for Americans just barely hanging on and surviving.
President Lincoln hardly a champion of constitutional rights was not referring to providing all Americans health insurance or promising that the government would take care of citizens every need and want.
Remember Lincoln waged the illegal war of Northern Aggression against the sovereign states of the Confederacy.
hjackson,
I don’t believe I said it was in the Constitution. This is a statement from the Gettysburg Address by President Lincoln. This speach was the President way of trying to reunite a country split by civil war; that would bring equality to all people. The full statement on this is “government of the people, by the people, for the people, shall not perish from the earth”. This type of dedication to our COUNTRY is what I am referring to; people are just to concerned about the almight dollar in government today.
Helpless mom since you are in the insurance industry I’m sure you realize that healthcare insurance premiums have been increasing by doube digits every year putting the cost out of reach of more and more people.
It is not a government function to “Take care of the people”. Where in the constitution do you see that? Government cannot be all things to all people. That’s one reason we are in such bad economic shape today. Just wait until the effects of the huge stimulus packages start effecting our kids future.
kickthekoolaid & hjackson,
I have to disagree that I don’t understand. I understand completely especially since I am in the insurance industry. That just makes it doubly frustrating for me. There are many compromises that can be made on the part of the insurance companies that don’t cost the policy holders an arm and a leg. You are both correct that there are a lot of conditions not covered by insurance. The issue here is the same one when heart surgury and cancer surgury first came into play with insurance. The companies have to look at the big picture and I feel that 1 in every 150 kids in the US is quickly rising to epidemic proportions.
These are two separate items here. One being the insurance companies failure to look beyond the end of their nose and second for the government to actually represent people as they should - remember from school “government by the people, for the people”.
The legislature seems to always fail to deal with issues like this. The last paragraph of the article refers to a comment from Sen. Kenneth Stolle that “leislative process is an ugly business”. The government has forgotten how to care for the people, their main concerns are how to make more money personally (look at Tom Daschle) not for the people.
kickthekoolaid - I agree that other countries may not have insurance but these people have no trouble asking our government to step in and help them. The US is bordering on major financial issues for our own people. When you look at your personal finances, don’t you make sure your mortgage and other loans are paid each month before you give to others? I have too espcially in this financial climate.
Helpless Mom,
It’s terrible that kids have to suffer from autism, however, as hjackson explained, millions of people have conditions not covered by insurance. That doesn’t make it right, but the way I see it, there are only a few options:
1) Socialized medicine - well, we know how that’s turned out in other countries. Long waits, less doctors (due to lower salaries), yada yada yada.
OR
2) The insurance companies cover children with autism - okay, but this would either cause the insurance companies to raise rates, meaning people with other conditions are dropped since they can no longer afford insurance OR the insurance company doesn’t cover some other condition in order to save money.
There really aren’t any winners here. It’s life, and it’s not always fair. We should be thankful that we even have the most basic conditions covered by insurance - a majority of the world’s population have no insurance and no healthcare at all.
Helpless Mom you don’t understand. You don’t force the insurance company to pay anything. You can force them to collect more money from their customers to cover the increased costs of this treatment and testing. Insurance companies like any business is not in the charity business. They unlike the government must make a profit to survive. Government justs extorts more in taxes from citizens. The socialist movement is eating at us like a cancer. Soon it will consume our system and way of life. Government has no money of it’s own, just taxes that are collected from citizens. The bigger the government the more taxes required to fund it.
I realize your pain but there are millions of citizens who have some conditions that arn’t covered, some trying to exist with no retirement just social security. Government will not ever be able to finance everything that is needed by citizens. Social Security, Medicare and Medicaid are going broke now how can anyone advocate even more for them to cover? Where will they get them money? From us or just cut the present benefits.
As the mother of a child with autism, this who discuss is simple politians not being willing to step up. I do not approve of socialized medicine in this country however letting our children suffer is not appropriate either. One of the biggest issues we face is the school system not agreeing to help to help these kids in any way until they gets specific testing. Insurance does not pay for this however you can go through VCU/MCV but the waiting list is 19 months. This to me seems like being forced by the insurance company to accept socialized medicine. You have waiting lists in England for surgury and other treatments, why can’t these insurance companies just step up. If the insurance companies would agree to cover some of the pre-testing for children a lot of kids would be ruled out of autism disorders right then. Unless you have dealt with the frustration of fighting the schools and insurance companies, no one can say they have a right to talk aobut this. Try looking into your 8 year olds tear filled eyes when he is frustrated beyond words and tell me you would agree with some of these comments. The government and insurance have no problem promoting medicines for young girls and women to “prevent cervical cancer” even knowing that these medicines can cause a lot more harm than good. People need to wake up in this country and stand up for what is right, not what the politicians force us to accept in order to line their pockets with more money.
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