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TX HB813

Bill

Status

Introduced

11/12/2024

Primary Sponsor

Philip Cortez

Click for details

Origin

House of Representatives

89th Legislature Regular Session

AI Summary

  • Expands the definition of "autism spectrum disorder" to include diagnoses meeting criteria in the DSM-5 or later editions, while continuing to recognize prior diagnoses of autism, Asperger's syndrome, or Pervasive Developmental Disorder-Not Otherwise Specified made under earlier DSM editions

  • Removes the requirement that an autism diagnosis must be made before a child's 10th birthday to qualify for coverage under health benefit plans

  • Eliminates the $36,000 annual cap on coverage for applied behavior analysis (ABA) treatment for enrollees 10 years of age or older

  • Prohibits health benefit plans from limiting coverage for autism spectrum disorder treatment benefits based on age

  • Applies to health benefit plans delivered, issued, or renewed on or after January 1, 2026, with the act taking effect September 1, 2025

Legislative Description

Relating to health benefit plan coverage for treatment of autism.

Health

Last Action

Placed on General State Calendar

5/14/2025

Committee Referrals

Insurance3/5/2025

Full Bill Text

No bill text available