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ISSAQUAH LAW GROUP   PERSONAL INJURY LITIGATION LAWYERS

Issaquah Law Group - Injury Litigation Attorneys

TRUST: Personal injuries are personal. Which is why the attorneys at ILG treat every client and every case differently. Because they are different, and extremely personal. ILG was founded on the principle that strong client relationships are the key to successful legal representation and strong relationships are built on trust. Trust that you will be heard. Trust that you will be protected. Trust that every effort will be made to see justice done in your case. The singular goal of every ILG attorney is to earn and preserve that trust.

EXPERIENCE: ILG attorneys have a broad base of litigation experience to draw on in all Federal and State courts from on-the-ground investigations to Supreme Court appeals and we bring this experience to bear on behalf of our clients in personal injury and wrongful death claims arising out of motor vehicle accidents, bus versus pedestrian accidents, defective and dangerous products, medical malpractice, slip/trip and fall accidents, and catastrophic losses due to fire.

LOCATION: We are located on the Eastside in Issaquah, convenient to Bellevue, Redmond, Kirkland, Renton, Sammamish and North Bend. However, we provide legal services in King County, Pierce County, Snohomish County and throughout the entire state of Washington.

In addition, through The Amateur Law Professor Blog and LinkedIn postings, we share pertinent opinions and decisions of the Washington State Supreme Court, as well as the pertinent opinions and decisions of the Washington State Courts of Appeal so that our clients can be as update to date on cutting legal issues as we are.

WA Supreme Court - Autism Neurodevelopment Therapies Don't Conflict with Mental Health Therapies

O.S.T. v. Regence Blueshield

Washington State mandated that both neurodevelopment therapies and mental health therapies be covered in health policies in Washington. Those familiar know that Neurodevelopment may include mental health therapies and vice versa. Its a little Venn diagram with an overlap in the middle.

Regence attempted to say that the two statutes were in conflict, and thus their exclusion of neurodevelopment therapies was valid. As a threshold matter here, how would they be the ones that get to pick which statute was invalid? Well, here, Regence argued that the later statute (the one for Mental Health) trumped. And that is a valid point of contention, but only if the statutes are only in conflict, rather than complimentary.

Regardless, our supreme court didn’t buy what Regence was selling:

     Under the plain language of the statute, we conclude that the NOT mandate creates a minimum level of required coverage for neurodevelopmental therapies. However, when neurodevelopmental therapies are medically necessary to treat mental disorders in the DSM-IV-TR, the mental health parity act requires additional coverage. Insurers must meet the requirements of both acts.

Great day for parents of autistic children (or any others requiring mental health or neurodevelopment therapies.

The only gap in this is the laws as written still do not require neurodevelopment therapies for older children and above, unless they fall within mental health treatment.

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