Texas SB562 amends the Insurance Code to expand coverage for autism spectrum disorder treatment in health benefit plans.

Texas SB562 amends the Insurance Code to redefine "autism spectrum disorder" and expand coverage requirements for health benefit plans. The bill specifies that coverage must be provided for treatment of autism spectrum disorder from the date of diagnosis. It also mandates that health benefit plans cannot limit coverage for benefits related to applied behavior analysis for enrollees aged 10 or older in an amount that exceeds $36,000 per year. These changes apply to health benefit plans delivered, issued for delivery, or renewed on or after January 1, 2026.

Texas SB562 amends the Insurance Code to expand coverage for autism spectrum disorder treatment in health benefit plans.

Texas SB562 amends the Insurance Code to redefine "autism spectrum disorder" and expand coverage requirements for health benefit plans. The bill specifies that coverage must be provided for treatment of autism spectrum disorder from the date of diagnosis. It also mandates that health benefit plans cannot limit coverage for benefits related to applied behavior analysis for enrollees aged 10 or older in an amount that exceeds $36,000 per year. These changes apply to health benefit plans delivered, issued for delivery, or renewed on or after January 1, 2026.