Bill > S05107

This bill amends New York insurance law to expand and clarify coverage requirements for autism spectrum disorder (ASD) diagnosis and treatment across various types of health insurance policies. Specifically, the bill introduces a maximum benefit of 680 hours of treatment per calendar year for applied behavior analysis (ABA) and developmental, individual-differences, relationship-based treatment. The bill broadens the definition of autism spectrum disorder and adds more comprehensive language about treatment options, including a new definition for "developmental, individual-differences, relationship-based treatment," which is a specific intervention approach focusing on promoting development and addressing developmental challenges. The legislation also updates the types of therapeutic care providers that can be covered, expanding from a limited list to include professionals in counseling, occupational therapy, physical therapy, social work, and speech and language pathology. Additionally, the bill mandates that insurance providers cannot deny, terminate, or refuse coverage to individuals solely because they have been diagnosed with or received treatment for autism spectrum disorder. These changes aim to ensure more consistent and comprehensive insurance coverage for individuals with ASD, providing clearer guidelines for treatment and professional standards for care providers.

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https://www.nysenate.gov/legislation/bills/2025/S5107