Find Information About:

Drugs & Supplements

Get information and reviews on prescription drugs, over-the-counter medications, vitamins, and supplements. Search by name or medical condition.

Pill Identifier

Pill Identifier

Having trouble identifying your pills?

Enter the shape, color, or imprint of your prescription or OTC drug. Our pill identification tool will display pictures that you can compare to your pill.

Get Started
My Medicine

My Medicine

Save your medicine, check interactions, sign up for FDA alerts, create family profiles and more.

Get Started

WebMD Health Experts and Community

Talk to health experts and other people like you in WebMD's Communities. It's a safe forum where you can create or participate in support groups and discussions about health topics that interest you.

  • Second Opinion

    Second Opinion

    Read expert perspectives on popular health topics.

  • Community


    Connect with people like you, and get expert guidance on living a healthy life.

Got a health question? Get answers provided by leading organizations, doctors, and experts.

Get Answers

Sign up to receive WebMD's award-winning content delivered to your inbox.

Sign Up

Health Care Reform:

Health Insurance & Affordable Care Act

By Bara Vaida

Reviewed by Lisa Zamosky

WebMD Health News

Autism Coverage Varies From State to State

Aug. 13, 2013 -- Autism is a brain disorder that affects a child's behavior and ability to communicate. It ranges from mild to severe and covers a large spectrum of symptoms. Around 1% of U.S. children from birth to age 21 have been diagnosed with an autism spectrum disorder, according to the National Center on Birth Defects and Developmental Disabilities.

The most common treatment is applied behavioral analysis. That typically is one-on-one counseling to improve a child’s behavior in different situations; it also teaches them how to learn new tasks, such as getting dressed in the morning or playing with other children. Experts think it is among the most helpful therapies, especially if it begins when the child is around 2 or 3.

In the past several years, 37 states have passed laws requiring autism-related coverage in state-regulated insurance plans. But those rules don’t extend to the new health insuranceMarketplaces, unless the state requires insurance companies to do so.

Under the Affordable Care Act, all insurance plans sold in the state Marketplaces must cover 10 essential benefits. That includes “behavioral health treatment” and “rehabilitative and habilitative services and devices.” However, the Department of Health and Human Services declined to specify treatment of autism as an essential health benefit and left the matter to the states.

Here are some answers to questions about autism treatment and health care reform:

Q: Will all insurance plans sold in the state Marketplaces include autism treatment such as applied behavioral analysis?

A: It depends on the state where you live. In 24 states plus Washington, D.C., insurance carriers will cover behavioral health treatments that include autism treatments like applied behavioral analysis.

Q: In which state Marketplaces will autism treatments like applied behavioral analysis be included in coverage?

A: Arizona, Arkansas, California, Connecticut, Delaware, Indiana, Illinois, Kentucky, Louisiana, Maine, Massachusetts, Michigan, Missouri, Montana, Nevada, New Jersey, New Hampshire, New York, Ohio, Texas, Vermont, West Virginia, Wisconsin, and Washington, D.C., will have autism coverage. Colorado will have coverage, but insurers can limit the number of visits.

Latest Health Reform News

Loading …
URAC: Accredited Health Web Site TRUSTe online privacy certification HONcode Seal AdChoices