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. Author manuscript; available in PMC: 2019 Feb 1.
Published in final edited form as: J Am Acad Child Adolesc Psychiatry. 2017 Dec 5;57(2):125–131. doi: 10.1016/j.jaac.2017.10.019

Table 1.

Age Caps Among States With Autism Insurance Mandates Implemented Through 2012

State Implementation Date Age Cap a Services Covered Monetary Limit
States Included in Analysis
Arizona 6/30/2009 16 DA, BH <9 years – $50,000/year
≥9 years – $25,000/yearf
Arkansas 10/1/2011 17 DA, BH, FT, MM $50,000/year
Colorado 7/1/2010 18 DA, BH, FT, MM <9 years – $34,000/year
≥9 years – $12,000/yearf
Connecticut 1/1/2010 14 DA, BH, FT, MM <9 years – $50,000/year
9–12 years – $35,000/year
≥13 years – $25,000/year
Louisiana 1/1/2009 17 BH, FT, MM $144,000 (lifetime)
Michigan 10/15/2012 18 DA, BH, FT, MM <6 years – $50,000/year
7–12 years – $40,000/year
≥13 years – $30,000/year
Missouri 1/1/2011 18 DA, BH, FT, MM $40,000/year
Montana 1/1/2010 18 DA, BH, FT, MM <9 years – $50,000/year
≥9 years – $20,000/year
Rhode Island 1/1/2012 14 BH, FT $32,000/year
South Carolina 7/1/2008 15 DA, BH, FT, MM $50,000/year
West Virginia 1/1/2012 18 BH $30,000/year for 3 years
States Excluded From Analysis
Californiab 7/1/2012 No Age Cap BH Not specified
Delaware 12/11/2012 20 DA, BH, FT, MM $36,000
Florida 4/1/2009 21c DA, BH, FT $36,000 (annually)
$200,000 (lifetime)
Illinois 12/12/2008 20 DA, BH, FT, MM $36,000
Indianab 7/1/2001 No Age Cap BH, FT, MM No cap
Kentucky 1/1/2011 21 DA, BH, FT, MM $50,000 (for large group plans)
$1,000/month (for small group plans)
Maine 1/1/2011 5 DA, BH, FT, MM $36,000f
Massachusettsb 1/1/2011 No Age Cap DA, BH, FT, MM No cap
Nevada 1/1/2011 21d DA, BH, FT, MM $36,000f
New Hampshire 1/1/2011 21 DA, BH, FT, MM <13 years – $36,000
≥13 years – $27,000
New Jerseyb 2/8/2010 No Age Cap DA, BH, FT $36,000
New Mexico 6/19/2009 22e DA, BH, FT $36,000 (annually)
$200,000 (lifetime)
New York 11/1/2012 No Age Cap DA, BH, FT, MM $45,000f
Pennsylvania 7/1/2009 20 DA, BH, FT, MM $36,000
Texas 1/1/2008
1/1/2010
2–5
9
DA, BH, FT, MM Not specified
Vermont 10/1/2011
10/1/2012
1.5–6
21
DA, BH, FT, MM Not specified
Virginia 1/1/2012 2–6 DA, BH, FT, MM $35,000
Wisconsin 11/1/2009 2–9 BH $50,000 for at least 4 years; minimum $25,000 afterf

Note: BH = behavioral therapy; DA = diagnosis and assessment; FT = functional therapy; MM = medication management.

a

State has no lower bound of age eligibility unless otherwise specified.

b

States included in falsification test.

c

Individuals > 17 years old remain eligible while they are still in high school.

d

Individuals > 18 years old remain eligible while they are still in high school through age 21.

e

Individuals > 19 years old remain eligible while they are still in high school through age 22.

f

Monetary limit is for behavioral therapy.