Relating to health benefit plan coverage for treatment of autism.
SB 562 requires Texas health benefit plans to cover treatment for autism spectrum disorder (ASD) starting from the date of diagnosis, without age restrictions for initial coverage. It mandates coverage for therapies like applied behavior analysis (ABA), but limits annual ABA coverage for enrollees aged 10 or older to $36,000 per year. The bill directly affects individuals diagnosed with ASD, including children and adults, by expanding insurance coverage for treatment. It applies to health plans delivered, issued, or renewed on or after January 1, 2026, and takes effect September 1, 2025. The law defines ASD to include diagnoses like autism, Asperger's syndrome, or Pervasive Developmental Disorder using current diagnostic standards.
Bill status
in committee
1 of 4 stages cleared
Introduction
Dec 2024
Committee Review
Floor Vote
Governor
Introduced Dec 10, 2024
Last action Feb 3, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
4
Key actions
0
Committee
1
Feb 3, 2025
Committee
Referred to Health & Human Services
upper
Feb 3, 2025
Introduced
Read first time
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
JM
José Menéndez
DDemocratic
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