The bill amends existing laws regarding health insurance coverage for autism spectrum disorders in Rhode Island. It expands the scope of mandatory coverage to include both group and individual health insurance contracts. The bill removes previous exclusions related to certain health insurance acts and specifies that benefits must include coverage for various therapies and services related to autism spectrum disorders. Benefits will continue until the covered individual reaches age fifteen; however, starting January 1, 2026, no benefits shall be limited by the age of the covered individual.
Additionally, the bill introduces a new section that mandates reimbursement rates for applied behavior analysis services. Effective January 1, 2026, health insurance carriers must reimburse certified applied behavior analysis providers at rates equal to or greater than the prevailing integrated state Medicaid rate for applied behavior analysis services, as established by the executive office of health and human services. This act will take effect upon passage.