HB1372 Summary

• Requires coverage for autism spectrum disorders in accident and health policies and managed care plans for individuals under 21 years of age, subject to mental health parity requirements.

• Changes minimum annual benefit for autism spectrum disorder treatment from $36,000 maximum to $36,000 minimum, with annual inflation adjustments and no limits on number of visits to service providers.

• Establishes new mental health parity requirements (Section 370c.1) ensuring financial requirements and treatment limitations for mental, emotional, nervous, or substance use disorders are no more restrictive than those for physical health benefits.

• Prohibits aggregate lifetime limits and annual limits on mental health benefits in group accident and health insurance policies amended, delivered, issued, or renewed after the effective date.

• Requires a single deductible applicable to both physical and mental health conditions in covered group health plans.