Permissible Changes in Coverage Sample Clauses

Permissible Changes in Coverage. Defendants may alter coverage of ABA and/or NDT services for Qualified Mental Health Conditions under this Agreement if any of the conditions listed below occur. Such alteration of coverage shall not be an event of termination or a violation of this Agreement and is subject to this Agreement. If such alteration occurs within one year after the Effective Date of this Settlement Agreement, Defendants shall provide notice of any such change to Class Counsel at least 30 days prior to implementation or within a reasonable time given the circumstances. 6.7.1 If applicable federal or state law legislation or regulation regarding coverage of ABA and/or NDT services for treatment of a Qualified Mental Health Condition changes in any manner that would make the terms of this Agreement a violation of the law, Defendants shall alter coverage in order to comply with the law. 6.7.2 If the Federal Mental Health Parity Act is repealed or modified in any manner that creates legal or coverage obligations that differ from the terms of this Agreement, the Defendants may alter coverage of ABA and/or NDT services for the treatment of a Qualified Mental Health Condition as long as changes comply with the Federal Mental Health Parity Act after its modification or other existing federal law in place after any repeal of the Federal Mental Health Parity Act. In the event of the repeal or modification of the Federal Mental Health Parity Act, such alterations could include the elimination of the coverage for ABA and/or NDT by Defendants, or the expansion of coverage. 6.7.3 If new evidence-based, clinical best practices result in treatments at least as effective as ABA in treating ASD, Defendants may choose to cover such treatments instead of ABA. 6.7.4 If new peer-reviewed scientific literature demonstrates that any expected harmful effects outweigh expected beneficial effects for ABA and/or NDT services for the particular condition for which it has been prescribed to treat. 6.7.5 If the Plan is changed to no longer provide mental health benefits, whether through modification or termination of the Plan.