HB 49 Summary

• Creates section 381.988 requiring physicians to screen minors for autism spectrum disorder when parents report symptoms, using American Academy of Pediatrics guidelines, and refer to specialists if medically necessary.

• Allows parents or legal guardians to access direct screening, evaluation, or diagnosis of autism spectrum disorder from the Early Steps program or appropriate specialists without physician referral for at least three visits per policy year.

• Defines "appropriate specialist" as a qualified licensed professional experienced in autism evaluation, including psychologists, psychiatrists, neurologists, and developmental or behavioral pediatricians.

• Requires health insurance plans and health maintenance organizations issued or renewed after January 1, 2017 to provide direct patient access for a minimum of three visits per policy year to an appropriate specialist for autism screening and diagnosis.

• Maintains existing coverage requirements for autism treatment including speech therapy, occupational therapy, physical therapy, and applied behavior analysis, limited to $36,000 annually and $200,000 lifetime benefits, effective January 1, 2017.