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Bill

S 4174

Requires health insurers to provide full coverage for the prevention, early detection, diagnosis and treatment of autism spectrum disorder

2025 Regular Session Introduced by Joe Addabbo and 3 co-sponsors

Bill S 4174 mandates full health insurance coverage for autism prevention, detection, diagnosis, and treatment, improving access and reducing costs for affected individuals and families.

REFERRED TO INSURANCE
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WeVote Research Nonpartisan
Bill Summary · S 4174

Summary of Bill S 4174

Bill Overview

  • Bill Number: S 4174
  • Title: Requires health insurers to provide full coverage for the prevention, early detection, diagnosis, and treatment of autism spectrum disorder
  • Status: Referred to Insurance Committee
  • Introduced On: February 03, 2025
  • Classification: Legislative Bill

Purpose and Intent

The primary purpose of Bill S 4174 is to ensure that individuals diagnosed with autism spectrum disorder (ASD) receive comprehensive health insurance coverage. This includes coverage for prevention, early detection, diagnosis, and treatment services related to ASD. The intent is to improve access to necessary healthcare services for individuals with autism, thereby enhancing their quality of life and supporting their families.

Key Provisions

  • Full Coverage Requirement: The bill mandates that health insurers provide full coverage for:
    • Prevention Services: Initiatives aimed at reducing the risk of developing autism.
    • Early Detection: Screening and assessment services to identify autism at an early stage.
    • Diagnosis: Comprehensive evaluation services to confirm an autism diagnosis.
    • Treatment: Coverage for various therapeutic interventions, including behavioral therapies, speech therapy, occupational therapy, and other medically necessary treatments.

Impact

  • Individuals with Autism: The bill directly benefits individuals diagnosed with autism spectrum disorder by ensuring they have access to essential health services without financial barriers.
  • Families: Families of individuals with ASD will experience reduced financial stress related to healthcare costs, allowing for better access to necessary treatments and support services.
  • Health Insurers: Insurance companies will be required to adjust their policies and coverage plans to comply with the new mandates, potentially leading to increased operational costs.

Procedural Aspects

  • Current Status: As of the introduction date, the bill has been referred to the Insurance Committee for further consideration.
  • Related Legislation: This bill is part of a broader legislative effort, with several related bills from prior sessions (e.g., S 2751, S 2707, S 3405) indicating ongoing legislative interest in autism coverage and support.

Conclusion

Bill S 4174 represents a significant step towards improving healthcare access for individuals with autism spectrum disorder. By mandating full coverage for essential services, the bill aims to foster better health outcomes and support for affected individuals and their families. The bill is currently under review by the Insurance Committee, and its progress will be closely monitored by stakeholders in the autism community and healthcare sectors.

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

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