Bills › 91st General Assembly
Relating to insurance coverage for covered individuals for the treatment of autism spectrum disorder and including applicability provisions
Sponsored by the House Commerce Committee, Rep. Eddie Andrews (R)
Topics:Business & economy
Same legislation: HF 5
Where it is now
- Done: IntroducedJanuary 14, 2025
- Done: SubcommitteeJanuary 22, 2025
- Done: House committeeFebruary 6, 2025
- Done: Passes the HouseFebruary 20, 202592–0
- Done: Senate committeeApril 2, 2025
- Done: Passes the SenateApril 21, 202545–0
- Done: To the GovernorMay 19, 2025
- Done: Signed into lawJune 11, 2025
Signed into law What’s a funnel?
What’s in it
This bill relates to insurance coverage for covered individuals for the treatment of autism spectrum disorder (autism). The bill changes the definition of autism under current law to align with the American psychiatric association’s diagnostic and statistical manual of mental disorders. 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.
Read the full explanation
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 through 13, and $12,500 for individuals age through 18. The bill eliminates the maximum benefit amounts and the age categories.28. The bill applies to plans specified in the bill that are delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2026.
From the explanation printed with the bill as introduced, written by the Legislative Services Agency. Amendments adopted later aren’t reflected. Full bill text · What changed before it passed
Senate subcommittee
Named March 5, 2025. On March 12, 2025 it recommended passage.
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
Iowa Code it changes
Amends§514C.22§514C.28§514C.31
Read from the bill as introduced. Each links to every bill touching that chapter of the Iowa Code. How the Code works
Lobbying
23 for · 0 against · 7 undecided · Who →
Family tree
Where this legislation came from and where it went: earlier tries, the versions it moved through this Assembly, and later bills built on it.
91st General Assembly
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