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Texas Senate Amends, Approves Bill Modifying Insurance Caps

May 01, 2013

AUSTIN (April 30, 2013) -- The Texas Senate approved SB.1484, a bill eliminating the age 10 cap on  autism insurance benefits, but added a $36,000 annual limit on ABA benefits after age 10. The bill also was amended to speed up the implementation date to September. It was approved 19-12.

Sponsored by Senators Kirk Watson of Austin, Wendy Davis of Forth Worth and Eddie Lucio, Jr. of Brownsville, SB.1484 eliminates the age cap on receiving autism insurance benefits. The original Texas autism insurance reform law was enacted in 2007 providing coverage for children aged 3 to 5, then was amended in 2009 to extend benefits through the age of 9.

The current law requires state-regulated health plans to cover the diagnosis and treatment of autism, including behavioral health treatment, such as Applied Behavior Analysis (ABA), as well as speech, occupational and physical therapy.