Bill > HF330

This bill updates Iowa's insurance regulations to improve coverage for individuals with autism spectrum disorder (ASD). The legislation makes several key changes to existing law, including replacing the term "autistic disorders" with "autism spectrum disorder" throughout the code and adopting the definition of ASD from the American Psychiatric Association's Diagnostic and Statistical Manual. The bill removes previous annual benefit limits for ASD treatment, eliminating the $36,000 per year cap and allowing for unlimited visits to autism service providers. It also expands age restrictions by removing previous limitations on coverage for individuals under 19 or 21 years old, effectively making ASD treatment coverage more comprehensive and accessible. The bill ensures that group insurance policies cannot impose aggregate annual or lifetime limits on ASD coverage benefits and maintains that deductibles, coinsurance, and copayments for ASD treatment should be consistent with those for other medical services. The changes will apply to insurance policies delivered or renewed on or after January 1, 2026, providing a clear implementation timeline for insurers and healthcare providers.

Business and Industry

Commerce (House)

https://www.legis.iowa.gov/legislation/BillBook?ga=91&ba=HF330