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IA HF330
Bill
Status
6/11/2025
Primary Sponsor
Commerce
Click for details
AI Summary
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Updates Iowa insurance code terminology from "autistic disorders" to "autism spectrum disorder" to align with the most recent edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders
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Prohibits group insurance policies from imposing aggregate annual or lifetime limits on coverage benefits for autism spectrum disorder treatment
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Removes the 52-visit annual limit on outpatient visits for applied behavior analysis and autism service provider treatment, while maintaining the 30 inpatient day minimum and 52-visit minimum for other mental health services
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Removes the $36,000 annual maximum benefit cap for autism spectrum disorder treatment under the state employee group health plan, though treatment may still be subject to care management provisions like prior authorization
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Applies to insurance policies, contracts, and plans delivered, issued, continued, or renewed in Iowa on or after January 1, 2026
Legislative Description
A bill for an act relating to insurance coverage for covered individuals for the treatment of autism spectrum disorder and including applicability provisions. (Formerly HF 5.) Effective date: 07/01/2025. Applicability date: 01/01/2026.
Last Action
Signed by Governor. H.J. 1225.
6/11/2025