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Calls to Action

Summary of 2012 Iowa Autism Insurance Reform Bill:

SF.2128 - Sponsored by Senator Daryl Beall (D-Webster)
February 10, 2012

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