Summary of 2012 Iowa Autism Insurance Reform Bill:

The bill would:

• Require state-regulated health insurance group policies to provide coverage of the screening, diagnosis and treatment of autism spectrum disorders up to age 26
   

Direct that coverage of treatments include evidence-based care and related equipment prescribed by a licensed physician or licensed psychologist who determines that the treatment is medically necessary, including but not limited to:

• Behavioral health treatment, including applied behavioral analysis (ABA) up to $36,000 per year
• Pharmacy care
• Psychiatric care
• Psychological care
• Therapeutic care
   
• Not affect any obligation to provide services to an individual under an individualized family service plan, an individualized education program (IEP), or an individualized services plan
• Apply only to state-regulated insurance plans; they do not apply to self-funded insurance plans which are regulated by the federal government under ERISA law
• Apply to health plans issued or renewed in Iowa starting January 1, 2013