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. While benefits were previously limited to individuals until they reached age fifteen, starting January 1, 2026, there will be no age limit on benefits, ensuring continued support for individuals with autism.
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. This change aims to enhance access to necessary services for individuals with autism spectrum disorders and ensure that providers are compensated fairly for their services. The act will take effect upon passage.