Nebraska Insurance Requirements for Autism Spectrum Disorder

The information below is collected from state statutes and regulations. The information is reviewed on an annual basis. Please be advised that laws, regulations, and policies may change at any time, so always check with your state for the most up-to-date information.

Note: Certain insurance plans are exempt from state mandates. Please contact your plan administrator to see if your plan includes state mandated autism spectrum disorder benefits.

Specific Insurance Mandate

The state of Nebraska has a specific autism mandate.

Effective July 1, 2014, the mandate requires any individual or group sickness and accident insurance policy or subscriber contract delivered, issued for delivery, or renewed in this state and any hospital, medical, or surgical expense-incurred policy, except for policies that provide coverage for a specified disease or other limited-benefit coverage, and (b) any self-funded employee benefit plan to the extent not preempted by federal law, including any such plan provided for employees of the State of Nebraska, to coverage for the screening, diagnosis, and treatment of an autism spectrum disorder in an individual under twenty-one years of age. Treatment includes: (i) Behavioral health treatment; (ii) Pharmacy care; (iii) Psychiatric care; (iv) Psychological care; and (v) Therapeutic care. Therapeutic care means a service provided by a licensed speech-language pathologist, occupational therapist, or physical therapist.