STATEMENT OF PURPOSE
RS31291 / HCR027
Some insurers in Idaho cover medically necessary IVIG treatment for children who suffer from
PANDAS/PANS. Some, however, deny this coverage for potentially outdated reasons; this failure to cover
this medically necessary treatment is leading to brain, behavioral and other health problems for some of the
approximately 400 Idaho children who need and can benefit from IVIG treatment. Because some insurers
cover IVIG treatment and some don’t, market distortions are increasingly placing the coverage burden on a
subset of providers. This is leading to market failure and one that is jeopardizing the health and safety of a
few hundred Idaho children.
This resolution does two things.
First, it calls for the Department of Insurance to work with leaders of the private insurance industry to address
this market failure by ensuring needed coverage throughout the market and reporting back to the legislature
before next session.
Second, it declares October 9 of this year to be PANDAS/PANS Awareness Day in Idaho.
FISCAL NOTE
This legislation causes no additional expenditure of funds at the state or local level of government, nor does it
cause an increase or decrease in revenue for state or local government, therefore the legislation has no fiscal
impact. The Department of Insurance can conduct this consultation and analysis with current staff.
Contact:
Representative Chris Mathias
(208) 332-1000
Representative Chenele Dixon
(208) 332-1000
DISCLAIMER: This statement of purpose and fiscal note are a mere attachment to this bill and prepared by a proponent
of the bill. It is neither intended as an expression of legislative intent nor intended for any use outside of the legislative
process, including judicial review (Joint Rule 18).
Statement of Purpose / Fiscal Note Bill SOP/FN INTRODUCED: 02/15/2024, 10:16 AM