Bill > SB402

This bill amends multiple sections of California law to improve health care coverage for individuals with autism and clarify definitions related to autism service providers. The bill moves definitions of "qualified autism service provider," "qualified autism service professional," and "qualified autism service paraprofessional" from various health care codes to the Business and Professions Code, creating a standardized set of qualifications for professionals working with individuals with autism. Starting January 1, 2026, the bill prohibits health care service plans and health insurers from requiring individuals previously diagnosed with pervasive developmental disorder or autism to undergo a rediagnosis to maintain coverage for behavioral health treatment. The bill also defines "rediagnosis" and "utilization review" to distinguish between these processes, ensuring that existing treatments are not interrupted while waiting for a rediagnosis. Additionally, the bill updates mandated reporter definitions to include qualified autism service providers, professionals, and paraprofessionals, expanding the list of professionals required to report suspected child abuse or neglect. The legislation aims to streamline autism-related health care services, protect continuous treatment for individuals with autism, and ensure consistent standards for autism service providers across different health care systems.

Business and Industry, Health and Social Services

https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=202520260SB402