The bill amends Section 27-20.11-3 of the General Laws regarding coverage for autism spectrum disorders. It introduces a provision that removes the age limit for benefits coverage, stating that on or after January 1, 2026, no benefits shall be limited by the age of the covered individual. Additionally, it mandates that health insurance policies issued or renewed on or after this date must reimburse certified applied behavior analysis providers at rates equal to or greater than the prevailing integrated state Medicaid rate for such services.

Furthermore, the bill adds a new section, 27-20.11-9, which specifies that every group health insurance contract, or every group hospital or medical expense insurance policy, plan, or group policy delivered, issued for delivery, or renewed in the state on or after January 1, 2026, must comply with these reimbursement requirements. The provisions do not apply to contracts, plans, or group policies subject to the small employer health insurance availability act, medical assistance, or the individual health insurance coverage act. Overall, the bill aims to enhance coverage and reimbursement for autism-related services, ensuring that individuals receive necessary support regardless of age.

Statutes affected:
5253: 27-20.11-3