Massachusetts State-Regulated Insurance Coverage
Massachusetts requires meaningful coverage for autism under state-regulated plans.
Massachusetts autism insurance bill, H4935, was enacted in 2010 and became effective on January 1, 2011.
To which plan types does the STATE autism insurance law apply?
- Individual Plans - YES
- Fully Insured Large Group Plans - YES
- Fully Insured Small Group Plans - YES
What services are covered by law?
- Habilitative or Rehabilitative Care (e.g. Applied Behavior Analysis)
- Pharmacy Care
- Psychiatric Care
- Psychological Care
- Speech, occupational and physical therapy
Does Massachusetts have caps on ABA coverage?
No. There are no age or dollar limits on coverage.
Where can I find more details about the Massachusetts autism insurance law?
A copy of H4935 as enrolled can be found here.
If you have additional questions, please email firstname.lastname@example.org.
Last Updated: December 2019