The bill amends Section 27-20.11-3 of the General Laws regarding coverage for autism spectrum disorders. It introduces new language that removes the age limit for benefits coverage, stating that as of January 1, 2026, no benefits shall be limited by the age of the covered individual. Additionally, it mandates that health insurance policies must provide coverage for various therapies, including applied behavior analysis, physical therapy, speech therapy, and psychiatric services, as long as these services are covered for other conditions under the policy.

Furthermore, the bill adds a new section, 27-20.11-9, which requires that, starting January 1, 2026, all group health insurance contracts must reimburse certified applied behavior analysis providers at rates equal to or greater than the prevailing integrated state Medicaid rate for such services. This provision does not apply to contracts subject to the small employer health insurance availability act, medical assistance, or individual health insurance coverage act. The act will take effect upon passage.

Statutes affected:
5253: 27-20.11-3