Insurance Legislation

Existing Texas Autism Insurance Legislation

House Bill 1919 – was passed in 2007 and mandates that insurance companies recognize disorders on the autism spectrum

House Bill 451 – was passed in 2009 and widens the range of ages for insurance coverage

House Bill 192– was also passed in 2009 and excuses a temporary absence from center of a student diagnosed with autism spectrum disorder for an appointment with a health care practitioner

Important Changes from the Texas Department of Insurance

On September 25th, 2009, the Texas Department of Insurance issued a set of guidelines that clarifies in the Texas Department of Insurance Rules and Regulations that Autism Spectrum Disorder is to be classified as a MEDICAL disorder and not MENTAL for those members of Fully Insured Health Insurance plans. These official changes became effective October 4, 2009. If you have a Fully Insured plan, know of someone who does, have had to discontinue services due to limits being placed on the number of visits your child is eligible to receive, or have been denied coverage because your policy treats Autism as a MENTAL disorder rather than a MEDICAL disorder, please contact us immediately. Your child may be eligible to begin or resume services due to these changes.

Federal Insurance Changes

The Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) was signed into law by President Bush in 2008, and became effective January 1, 2010. If you are a member of a Self-insured insurance plan offered by your employer, and your company has over 50 employees, this new law may impact your coverage and afford your child the opportunity to receive services without limitations placed on the level of mental health benefits. Contact your HR Department or your plan Administrator immediately! We are here to assist so if you have any questions.