Texas Legislation Update: House Considers Bill to Expand Autism Insurance Coverage Up to Age 18

The Texas House of Representatives is currently considering HB 451, a bill that would expand the health insurance mandate to cover children ages 2 to 18. The current law covers only ages 3 to 5.

Currently, the Texas Autism Insurance Law (Insurance Code 1355.015) signed on June 15, 2007 and effective as of January 1, 2008:

• Includes: Autistic Disorder, Asperger's Syndrome, and Pervasive Developmental Disorder - Not Otherwise Specified
  
  
• Requires health insurance plans to provide coverage for generally recognized services perscribed in relation to autism spectrum disorder by a primary care physician
  
  
• To be eligible for coverage, an individual must be older than two years and younger than six years (ages 3 to 5)
  
  
• Coverage for behavioral therapies are subject to a $50,000 maximum per year
  
  
• Covered services include:
  • Evaluation and assessment services
  • Applied Behavior Analysis (ABA)
  • Behavior training and behavior management
  • Speech therapy
  • Occupational therapy
  • Physical therapy
  • Medication or nutritional supplements used to address symptoms of autism spectrum disorder. (summary from autismvotes.org)

You can learn more about pending state legislation that affects our community by visiting Texas Autism Advocacy's Legislative Action Center and take action by sending an email to your elected representatives.