California AB951 prohibits requiring rediagnosis for autism coverage.

AB951 amends the Health and Safety Code and Insurance Code to ensure that health care service plans and health insurance policies do not require a rediagnosis for maintaining coverage of behavioral health treatment for pervasive developmental disorder or autism. The bill specifies that treatment plans must be made available to insurers and outlines criteria for qualified autism service providers and professionals. It also clarifies that utilization review is distinct from rediagnosis and that treatment should not be discontinued while waiting for a rediagnosis.

California AB951 prohibits requiring rediagnosis for autism coverage.

AB951 amends the Health and Safety Code and Insurance Code to ensure that health care service plans and health insurance policies do not require a rediagnosis for maintaining coverage of behavioral health treatment for pervasive developmental disorder or autism. The bill specifies that treatment plans must be made available to insurers and outlines criteria for qualified autism service providers and professionals. It also clarifies that utilization review is distinct from rediagnosis and that treatment should not be discontinued while waiting for a rediagnosis.