Bills › 90th General Assembly
Relating to insurance coverage for covered individuals for the treatment of autism spectrum disorder
Sponsored by the House Commerce Committee
Topics:Health careInsurance
Where it is now
- Done: IntroducedJanuary 20, 2023
- Done: SubcommitteeJanuary 20, 2023
- Done: House committeeFebruary 7, 2023
- Done: Passes the HouseFebruary 15, 202399–0
- Stopped: Senate committeeDied when the General Assembly ended
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Died when the session ended The 2024 session adjourned on April 19, 2024, the General Assembly’s last regular session. Bills that didn’t pass both chambers died. What’s a funnel?
What’s in it
AI summary Insurance plans for state employees and many other group plans will no longer have an age limit or a maximum dollar amount for autism treatments. This change removes the previous restrictions on how much money can be spent each year and how old a person must be to receive care. These updates affect people covered under specific health insurance policies in Iowa.1
Read the official explanation
This bill relates to insurance coverage for covered individuals for the treatment of autism spectrum disorder (autism). Under current law, a group plan established pursuant to Code chapter 509A for employees of the state that provides for third-party payment or prepayment of health, medical, and surgical coverage benefits (coverage) shall provide coverage to covered individuals under years of age for the diagnostic assessment and treatment of autism, and coverage is required in a maximum benefit amount of not more than $36,000 per year. The bill eliminates the 21-year maximum age limit and the maximum benefit amount. Under current law, a group policy, contract, or plan (policy) providing for third-party payment or prepayment of health, medical, and surgical coverage shall provide coverage for applied behavior analysis (analysis) provided by a practitioner to covered individuals under years of age for the treatment of autism pursuant to a treatment plan if the policy is either a policy issued by a carrier to an employer who on at least percent of the employer’s working days during the preceding calendar year employed more than full-time equivalent employees, or the policy is established pursuant to Code chapter 509A for public employees other than employees of the state. Under the bill, the age restriction is eliminated. Current law requires that the coverage for analysis shall provide an annual maximum benefit of not less than $36,000 for individuals through age six, $25,000 for individuals age seven through 13, and $12,500 for individuals age through 18. The bill eliminates the maximum benefit amounts and the age categories.22. The bill applies to third-party payment providers enumerated in the bill. The types of specialized health-related insurance which are not subject to the bill are specified in the bill. The bill applies to plans delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2024.
Senate subcommittee
Named February 21, 2023. It hasn’t reported yet.
Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part
Family tree
90th General Assembly
Picked up later
Earlier and later bills are matched by wording or an identical title.
Similar bills
- HF 5 Relating to insurance coverage for covered individuals for the treatment of autism spectru…91st General Assembly · Renumbered as HF 330Very similar
Matched by wording or an identical title.