Summary of 2012 Alabama Autism Insurance Reform Bills:

Senate Bill 283 - Sponsored by State Senator Cam Ward (R-Alabaster) House Bill 345 - Sponsored by State Rep. Mac McCutcheon (R-Capshaw)

The bills would:

  • require providers of state-regulated insurance plans to provide coverage for the diagnosis and treatment of individuals with autism spectrum disorders  through age 9 (Senate)/ through age 18 (House)
  • place no dollar cap on the annual benefit, except for ABA therapy at $50,000 per year
  • require coverage, following a determination of medical necessity by a licensed physician or psychologist, to include:
  • behavioral health treatment, such as applied behavior analysis (ABA)  
  • pharmacy care
  • psychiatric care
  • psychological care
  • therapeutic care provided by a licensed or certified speech therapist, occupational therapist, or physical therapist
  • not apply to self-funded insurance plans since those plans are regulated by the federal government under ERISA