Bill

A 3896

Relates to coverage for the screening, diagnosis and treatment of autism spectrum disorder

2025 Regular Session Introduced by Sam Berger and 16 co-sponsors

Bill A 3896 mandates insurance coverage for autism screening, diagnosis, and treatment, improving access and reducing costs for individuals and families affected by ASD.

REFERRED TO INSURANCE

WeVote Research Nonpartisan

Bill Summary · A 3896

Summary of Bill A 3896

Overview

Bill Number: A 3896
Title: Relates to coverage for the screening, diagnosis, and treatment of autism spectrum disorder
Status: Referred to Insurance
Introduced: January 30, 2025
Classification: Bill

Purpose and Intent

Bill A 3896 aims to enhance healthcare coverage for individuals diagnosed with autism spectrum disorder (ASD). The primary intent is to ensure that comprehensive screening, diagnosis, and treatment services are accessible and adequately covered by insurance providers. This legislation seeks to address gaps in current healthcare policies that may limit access to necessary services for individuals with ASD.

Key Provisions

The bill includes several important provisions:

Coverage Requirements: Mandates that health insurance plans provide coverage for:
- Screening and diagnosis of autism spectrum disorder.
- A range of treatment options, including behavioral therapies, medications, and other supportive services.
Preventive Services: Encourages the inclusion of preventive services aimed at early detection and intervention for ASD.
Cost-Sharing Protections: Establishes guidelines to limit out-of-pocket costs for families seeking treatment, ensuring that financial barriers do not impede access to necessary care.
Provider Network Standards: Requires insurance companies to maintain a network of qualified providers who specialize in autism treatment, ensuring that families have access to appropriate care.

Affected Parties

The bill will primarily impact:
- Individuals with Autism Spectrum Disorder: Enhancing their access to essential healthcare services.
- Families of Affected Individuals: Providing financial relief and support in navigating treatment options.
- Healthcare Providers: Ensuring they are adequately compensated for services rendered to individuals with ASD.

Legislative Process and Timeline

Introduced on January 30, 2025: The bill was referred to the Insurance Committee for further consideration.
Next Steps: The bill will undergo discussions and potential amendments within the committee before it can proceed to a vote in the legislature.

Related Legislation

This bill is related to previous legislative efforts, including:
- A 8548 (prior-session)
- A 7913 (prior-session)
- S 5107 (companion bill)

Conclusion

Bill A 3896 represents a significant step towards improving healthcare access for individuals with autism spectrum disorder. By mandating coverage for essential services, the bill aims to alleviate the challenges faced by families and ensure that individuals with ASD receive the support they need for their development and well-being.

Compiled from official sources — confirm details with the bill’s official record.