Washington State-Regulated Insurance Coverage

Washington requires meaningful coverage for autism, including applied behavior analysis (ABA), under state regulated plans.

Washington’s autism insurance bill, SB 5059, was enacted in 2014.

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?

  • Applied Behavior Analysis
  • Behavioral Health Treatment
  • Pharmacy Care
  • Psychiatric Care
  • Psychological Care
  • Therapeutic Care
  • Any care for individuals with autism spectrum disorders that is demonstrated, based upon best practices or evidence-based research, to be medically necessary

Does Washington have caps on coverage?

No. Coverage is not limited by age, dollar, or number of visits.

If you have additional questions, please email advocacy@autismspeaks.org.

 

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 help@autismspeaks.org.