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TX SB562

Bill

Status

Introduced

12/10/2024

Primary Sponsor

Jose Menendez

Click for details

Origin

Senate

89th Legislature Regular Session

AI Summary

  • Removes the requirement that autism spectrum disorder must be diagnosed before a child's 10th birthday to qualify for health benefit plan coverage for treatment

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

  • Updates the definition of "autism spectrum disorder" to align with the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th edition) or later editions

  • Preserves coverage eligibility for individuals previously diagnosed with autism, Asperger's syndrome, or Pervasive Developmental Disorder-Not Otherwise Specified under earlier DSM editions

  • Applies to health benefit plans delivered, issued, or renewed on or after January 1, 2026, with an effective date of September 1, 2025

Legislative Description

Relating to health benefit plan coverage for treatment of autism.

Health

Last Action

Referred to Health & Human Services

2/3/2025

Committee Referrals

Health & Human Services2/3/2025

Full Bill Text

No bill text available