Texas HB564 mandates health benefit plans to cover medically necessary autism spectrum disorder treatments from diagnosis.
HB564 amends the Texas Insurance Code to require health benefit plans to cover medically necessary treatments for autism spectrum disorder from the date of diagnosis. The bill defines "medically necessary" treatments as those addressing specific patient needs, based on evidence-based sources, and delivered according to recognized standards of care. Covered treatments may include evaluation, applied behavior analysis, speech therapy, occupational therapy, physical therapy, and medications or nutritional supplements.
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- Legal Framework
- Critical Issues
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