The proposed bill would amend current statutes related to insurance coverage for behavioral therapy for individuals with autism spectrum disorder. Specifically, it would remove the existing maximum benefit caps for behavioral therapy for eligible persons aged 16 and younger, which are currently set at $50,000 per year for those up to 9 years old and $25,000 for those between 9 and 16 years old. Additionally, the bill would redefine "autism spectrum disorder" to align with the latest criteria established in the Diagnostic and Statistical Manual of Mental Disorders, eliminating outdated diagnostic subcategories such as Asperger's syndrome.

Furthermore, the bill clarifies that while insurers may impose deductibles, coinsurance, or other cost-sharing measures, they cannot exclude or deny coverage based solely on an autism diagnosis. The language of the bill aims to ensure that coverage for medically necessary behavioral therapy services remains accessible without financial limitations, thereby enhancing support for individuals with autism spectrum disorder and their families.

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
Chaptered Version: 20-826.04, 20-1057.11, 20-1402.03, 20-1404.03, 20-1137, 20-2301