Wyoming becomes 49th state to require coverage of autism

April 25, 2019

On April 19, 2019, Wyoming became the 49th state to address autism insurance coverage in state-regulated plans. Wyoming Insurance Commissioner Tom Glause announced that all plans that have mental health coverage -- including large group, small group, and individual plans -- will be barred from excluding evidence-based treatment for autism spectrum disorder (ASD).

Map of United States with all states, except Tennessee, shaded green to indicate 49 states' coverage of autism.

The bulletin issued by the Wyoming Department of Insurance specifies that all insurance plans, whether grandfathered, non-grandfathered, transitional, or self-funded Multiple Employer Welfare Arrangements, must come into compliance by July 1, 2019.

With this insurance bulletin, Wyoming joins North Dakota and Idaho in setting the national precedence that state-regulated insurance companies should be covering autism treatments under existing federal mental health parity law.

We applaud the Wyoming Department of Insurance for issuing this comprehensive, far-reaching bulletin, which will literally change lives of individuals with autism in Wyoming,” said Lorri Unumb, Autism Speaks Vice President of State Government Affairs. “When I met with department attorneys in Cheyenne last year, I could tell they wanted to do the right thing; they just needed to find the right opportunity, and today they did.”

Nationally, efforts to expand autism insurance coverage began in the early 2000’s and have continued every year since then. While we celebrate Wyoming as the 49th state to address coverage of autism, we recognize the gaps in coverage that still exist in Tennessee as well as states where the coverage is not universally available.

Timely access to medically necessary treatments, including ABA, can change the trajectory of a person’s life. However, autism families routinely face obstacles in accessing and affording this care for children, transition age-youth, and adults with autism.

Autism Speaks will continue to work toward improving coverage for autism treatments across the country through the expansion of existing state insurance mandates and by ensuring access to medically necessary care pursuant to Medicaid’s Early and Periodic Screening, Diagnostic, and Treatment mandate.