Bill > HB1940

This bill expands mandated health insurance coverage for autism spectrum disorder, or ASD, which is a developmental disorder affecting communication and behavior. Currently, insurance plans are required to cover diagnosis and treatment for individuals from age two through six, but this bill extends that coverage to age 10, effective January 1, 2016. This means that health insurers, health care subscription plans, and health maintenance organizations will be required to provide coverage for ASD diagnosis and treatment for a broader age range. The bill specifies that this extended coverage applies to policies and plans delivered, issued, or renewed on or after January 1, 2016. However, it's important to note that this expansion does not apply to insurance plans in the individual market or small group market, which, as of January 1, 2016, includes employers with up to 100 employees. The bill also clarifies that if an individual is receiving treatment for ASD and turns seven or older, coverage for their ongoing treatment will not be terminated solely due to their age exceeding the newly established limit.