California State-Regulated Insurance Coverage

California requires meaningful coverage for autism under state-regulated plans.

California’s autism insurance bill, SB 946, was enacted in 2011 and became effective on July 1, 2012.

To which plan does the STATE autism insurance law apply?

  • Individual Plans - YES
  • Fully Insured Large Group Plans - YES
  • Fully Insured Small Group - YES

What services are covered by the law?

  • Behavioral health treatment (e.g. Applied Behavior Analysis)

For purposes of the law, “behavioral health treatment” is defined as “professional services and treatment programs, including ABA and evidence-based behavior intervention programs, that develop or restore, to the maximum extent practicable, the functioning of an individual.” Treatment must be prescribed by a licensed physician and provided by qualified autism service provider, qualified autism service professional or qualified autism service paraprofessional.

Does California have caps on ABA coverage?


Where can I find more details about the California autism insurance law?

A copy of SB 946 as enrolled can be found here.

If you have additional questions, please email


Last Updated: December 2019

We're Here to Help Chat with Us
Autism Response Team Chat
There are no available agents at the moment.

You can also reach the Autism Response Team by phone or email: 888-288-4762, en Espanol 888-772-7050, or