If enacted, this bill would amend current Arizona statutes regarding insurance coverage for behavioral therapy related to autism spectrum disorder. Specifically, it would remove the existing maximum benefit caps for behavioral therapy for individuals aged 16 and younger, which are currently set at $50,000 per year for those under 9 years old and $25,000 for those aged 9 to 16. Additionally, the bill would redefine "autism spectrum disorder" to align with the latest criteria from the Diagnostic and Statistical Manual of Mental Disorders, specifying it as a pervasive developmental disorder without reference to previous subcategories like Asperger's syndrome.

The bill also clarifies that while insurers can impose deductibles, coinsurance, or other cost-sharing measures, they cannot deny coverage based solely on a diagnosis of autism spectrum disorder or for medically necessary behavioral therapy services. This change aims to enhance access to necessary treatments for eligible individuals while ensuring that insurance policies remain compliant with updated definitions and standards in mental health care.

Statutes affected:
Introduced Version: 20-826.04, 20-1057.11, 20-1402.03, 20-1404.03, 20-1137, 20-2301
Senate Engrossed Version: 20-826.04, 20-1057.11, 20-1402.03, 20-1404.03, 20-1137, 20-2301