Bill > SB0214

This bill updates Utah's health insurance coverage requirements for autism spectrum disorder (ASD) diagnosis and treatment, expanding the list of qualified professionals who can diagnose ASD and removing previous restrictions. The bill broadens the definition of "diagnosis of autism spectrum disorder" to include assessments performed by a wider range of licensed professionals, such as advanced practice registered nurses, clinical social workers, marriage and family therapists, clinical mental health counselors, psychologists, physicians, and physician assistants specializing in mental health care. The legislation requires health benefit plans to provide coverage for ASD diagnosis and treatment without limitations on the number of hours of behavioral health treatment as of January 1, 2020. The bill also mandates that health care providers submit a treatment plan to insurers within 14 business days of starting treatment and allows insurers to request treatment reviews every three months. Importantly, the bill is set to take effect on January 1, 2027, with a contingency that the changes will not be implemented if another related bill (S.B. 256) does not pass. The overall aim is to improve access to comprehensive diagnostic and treatment services for individuals with autism spectrum disorders.

Business and Industry, Health and Social Services

https://le.utah.gov/~2025/bills/static/SB0214.html