Plain English Breakdown
The official text does not define terms like 'rediagnosis' or 'pervasive developmental disorder,' so definitions were omitted to avoid speculation.
Stopping Rediagnosis Requirements for Autism Coverage
This law stops health plans from requiring people with autism or pervasive developmental disorder to get a new diagnosis just to keep their treatment coverage.
What This Bill Does
- Prohibits health insurance policies and service plan contracts issued, amended, or renewed on or after January 1, 2026, from requiring rediagnosis for existing conditions of autism or pervasive developmental disorder.
- Requires plans to make a treatment plan available if the insurer or service plan requests it.
Who It Names or Affects
- People previously diagnosed with autism or pervasive developmental disorder who need behavioral health coverage.
- Health insurance companies and health care service plans regulated by state agencies.
Limits and Unknowns
- The rule only applies to policies issued, amended, or renewed on or after January 1, 2026.
- The official text does not specify the exact date enforcement begins beyond the contract timeline.