The information below is collected from state statutes and regulations. The information is reviewed on an annual basis. Please be advised that laws, regulations, and policies may change at any time, so always check with your state for the most up-to-date information.
Note: Certain insurance plans are exempt from state mandates. Please contact your plan administrator to see if your plan includes state mandated autism spectrum disorder benefits.
The state of Alabama has a specific autism mandate, which requires certain insurers to provide coverage for autism spectrum disorder.
The mandate requires a health benefit plan to provide coverage for the screening, diagnosis and treatment of autism spectrum disorder for individuals age eighteen or under in policies and contracts to employers with at least 51 employees for at least 50 percent of its working days for the preceding calendar year. Coverage is limited to treatment that is prescribed by the insured's licensed physician or licensed psychologist and includes: behavioral health treatment, pharmacy care, psychiatric care, psychological care, and therapeutic care (which includes services provided by a licensed and certified speech therapist).
For further information on insurance mandates for autism spectrum disorder, please visit this website:
￼Questions regarding state affairs issues? Call ASHA at 800-498-2071 and ask for the State Affairs Team.