Alaska2026Passed Legislature
HB292
Insurance Coverage for Pediatric Autoimmune Neuropsychiatric Disorders
Last scannedSep 20, 2026, 12:32 AM
In one sentence
This law requires health insurers in Alaska to cover specific treatments for children with pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome.
What it does
- Requires insurance plans to pay for the prevention, diagnosis, and treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome.
- Mandates that coverage includes standard treatments such as antimicrobials, medications, behavioral therapies, immunomodulating medicines, plasma exchange, and intravenous immunoglobulin therapy.
- Prohibits insurers from denying or delaying care because a patient received similar treatment before or was diagnosed under a different name like autoimmune encephalopathy.
- Stops insurers from requiring patients to try symptom-only treatments before approving therapies that target the immune system.
- Ensures coverage for out-of-state treatment if services are not available in Alaska and bans denying care based on age.
- Adds these disorders as an optional service under state medical assistance programs, pending federal approval.
Who it affects
- Health insurance companies that sell plans in the State of Alaska.
- Children diagnosed with pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections or pediatric acute-onset neuropsychiatric syndrome.
- The Department of Health, which must submit plan changes to federal officials for approval.
Limits and unknowns
- The part of the law adding coverage for state medical assistance programs only takes effect if federal officials approve it by January 1, 2027.
- Insurers may still ask for treatment notes and use standard approval processes to check if care is medically necessary.
Plain language
Terms to know
- Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections
- A condition in children marked by sudden obsessive-compulsive symptoms or tics, a pattern of coming and going symptoms, young age at start, neurological issues, and a link to group A strep infection.
- Pediatric acute-onset neuropsychiatric syndrome
- A disorder defined by the sudden start of obsessive-compulsive symptoms or eating restrictions along with rapid behavioral decline in at least two areas like anxiety, school performance, mood, or sleep.
- Immunomodulating therapy
- Medical treatments that change how the immune system works to help treat these disorders.
Official record
Sources
Official summary
INSURANCE: PEDIATRIC NEUROPSYCH DISORDERS An Act relating to insurance coverage for pediatric autoimmune neuropsychiatric disorders; and providing for an effective date.
Official activity
Bill history
- (H) COSPONSOR(S): CARRICK2427
- (H) REFERRED TO FINANCE2314
- (H) FIN REFERRAL ADDED AFTER L&C2314
- (H) FN3: INDETERMINATE(DOH)2275
- (H) FN2: (CED)2275
- (H) FN1: INDETERMINATE(CED)2275
- (H) DP: CARRICK, SADDLER, FRIER, D.NELSON, HALL, FIELDS2275
- (H) L&C RPT CS(L&C) NEW TITLE 6DP2275
- (H) Moved CSHB 292(L&C) Out of CommitteeText
- (H) LABOR & COMMERCE at 03:15 PM BARNES 124Text
- (H) Heard & HeldText
- (H) LABOR & COMMERCE at 03:15 PM BARNES 124Text
- (H) <Bill Hearing Canceled>Text
- (H) LABOR & COMMERCE at 03:15 PM BARNES 124Text
- (H) FN1: INDETERMINATE(CED)1870
- (H) AM: SCHWANKE, RUFFRIDGE1870
- (H) NR: PRAX, GRAY1870
- (H) DP: FIELDS, MEARS, MINA1870
- (H) HSS RPT CS(HSS) NEW TITLE 3DP 2NR 2AM1870
- (H) Moved CSHB 292(HSS) Out of CommitteeText