Pre-ACA State Autism Coverage Mandates: Small Group Markets
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2010
| Location | Does The State Specifically Mandate Coverage of Autism In Small Group Plans? | Mandate to Cover or Offer? | Mandate Specifically Includes Applied Behavioral Analysis (ABA) or other related therapy? | Annual Limit For ABA or other related therapy |
|---|---|---|---|---|
| United States | 22 Yes; 29 No | 21 Cover; 1 Offer | 10 Yes; 12 No | |
| Alabama | No | N/A | N/A | N/A |
| Alaska | No | N/A | N/A | N/A |
| Arizona | No | N/A | N/A | N/A |
| Arkansas | No | N/A | N/A | N/A |
| California | Yes | Cover | No | N/A |
| Colorado | Yes | Cover | Yes | $34,000-up to 8 years of age. $12,000 -9-18 years of age. |
| Connecticut | Yes | Cover | Yes | $50,000-up to 9 years of age. $35,000 -9-13 years of age. $25,000-13-15 years of age |
| Delaware | No | N/A | N/A | N/A |
| District of Columbia | Yes | Cover | No | N/A |
| Florida | No | N/A | N/A | N/A |
| Georgia | Yes | Cover | No | N/A |
| Hawaii | No | N/A | N/A | N/A |
| Idaho | No | N/A | N/A | N/A |
| Illinois | Yes | Cover | Yes | $36,000 -includes the cost of ABA and other autism related care |
| Indiana | Yes | Cover | Yes | Yes |
| Iowa | No | N/A | N/A | N/A |
| Kansas | No | N/A | N/A | N/A |
| Kentucky | Yes | Cover | No | N/A |
| Louisiana | No | N/A | N/A | N/A |
| Maine | Yes | Offer | No | N/A |
| Maryland | Yes | Cover | No | N/A |
| Massachusetts | Yes | Cover | No | N/A |
| Michigan | No | N/A | N/A | N/A |
| Minnesota | No | N/A | N/A | N/A |
| Mississippi | No | N/A | N/A | N/A |
| Missouri | No | N/A | N/A | N/A |
| Montana | Yes | Cover | Yes | $50,000-child birth to 8, includes includes ABA and other autism related treatments $20,000- child 9-18, includes ABA and other autism related care |
| Nebraska | No | N/A | N/A | N/A |
| Nevada | Yes | Cover | Yes | $36,000 |
| New Hampshire | Yes | Cover | No | N/A |
| New Jersey | Yes | Cover | Yes | $36,000 |
| New Mexico | Yes | Cover | Yes | $36,000-not to exceed a lifetime limit of $200,000-includes the cost of ABA and other autism related care |
| New York | Yes | Cover | No | N/A |
| North Carolina | No | N/A | N/A | N/A |
| North Dakota | No | N/A | N/A | N/A |
| Ohio | No | N/A | N/A | N/A |
| Oklahoma | No | N/A | N/A | N/A |
| Oregon | Yes | Cover | No | N/A |
| Pennsylvania | No | N/A | N/A | N/A |
| Rhode Island | No | N/A | N/A | N/A |
| South Carolina | No | N/A | N/A | N/A |
| South Dakota | No | N/A | N/A | N/A |
| Tennessee | Yes | Cover | No | N/A |
| Texas | Yes | Cover | Yes | Annual cap not defined in statute. |
| Utah | No | N/A | N/A | N/A |
| Vermont | No | N/A | N/A | N/A |
| Virginia | Yes | Cover | No | N/A |
| Washington | No | N/A | N/A | N/A |
| West Virginia | No | N/A | N/A | N/A |
| Wisconsin | Yes | Cover | Yes | $50,000-at a minimum /year for a minimum of 4 years for "intensive" level services . $25,000-at a minumum /year for "non-intensive" level services. |
| Wyoming | No | N/A | N/A | N/A |