New Jersey:

2009 N.J. Laws, Chap. 115 (AB 2238 of 2009)

Requires specified health insurance policies and health benefit plans to provide coverage for expenses incurred in screening and diagnosing autism or another developmental disability. When the covered person's primary diagnosis is autism or another developmental disability, coverage must be provided for expenses incurred for medically necessary occupational therapy, physical therapy, and speech therapy, as prescribed through a treatment plan. When the covered person is under 21 years of age and the person's primary diagnosis is autism, coverage must be provided for expenses incurred for medically necessary behavioral interventions based on the principles of applied behavioral analysis and related programs, as prescribed through a treatment plan.

N.J. Rev. Stat. §17:48-6v, §17:48A-7u, §17:48E-35.20, §17B:26-2.1s, §17B:27-46.1v, §17B:27A-7.5, §17B:27A-19.7 and §26:2J-4.20

Requires specified insurers that provide hospital or medical expense benefits to provide coverage for biologically-based mental illness, including pervasive developmental disorder or autism, under the same terms and conditions as provided for any other sickness under contract.

Wisconsin:

Act 28 Wis. Stat. §632.895(12m)

(Assembly Bill 75 of 2009; Act 28 of 2009)

Requires specified disability insurance policies and self-insured health plans to provide coverage for treatment for autism spectrum disorder if the treatment is prescribed by a physician, including specified therapies. The statute defines intensive-level and nonintensive-level services.

Wis. Stat. §51.01(5a)

Defines autism as a developmental disability.

Admin. Code, Insurance Commissioner 6.54(3)(a) et seq. specifies that no insurance company may refuse, cancel or deny insurance coverage solely on the basis of the applicant's or insured's physical condition or developmental disability.

District of Columbia:

D.C. Code Ann. §31-3271 and §31-3272

(2007 D.C. Stat., Act 16-0493 B16-711 of 2007)

Defines habilitative services as occupational, physical and speech therapy for the treatment of a child with a congenital or genetic birth defect to enhance the child's ability to function. Congenital or genetic birth defect is defined as a defect existing at or from birth, including a hereditary defect; includes autism or an autism spectrum disorder. Requires health insurers to provide habilitative services for children less than 21 years of age. The coverage shall not be more restrictive than coverage provided for any other illness, condition or disorder. A health insurer shall not be required to provide reimbursement for habilitative services delivered through early intervention or school services.

Maryland:

Md. Insurance Code Ann. §15-835 (2002 Md. Laws, Chap. 382; HB 692)

Requires insurers and nonprofit health service plans and health maintenance organizations to provide coverage of habilitative services for children less than 19 years of age. Habilitative services include occupational, physical and speech therapy for the treatment of a child with a congenital or genetic birth defect to enhance the child's ability to function. The definition of congenital or genetic birth defect includes autism spectrum disorder.