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On July 1, 2025, a new Iowa state law went into effect that prohibits commercial insurance plans from imposing an aggregate annual or lifetime limit on coverage benefits for medically necessary services, including applied behavior analysis (ABA) for residents with autism spectrum disorders. The legislation, Iowa House File 330, eliminates previous policies that set a maximum benefit cap on expenditures for autism diagnosis and treatment.

The change impacts plans delivered, continued, or renewed on or after January 1, 2026. Coverage pursuant to the new law may be subject to deductibles, copayments, or coinsurance provisions that apply to other medical and . . .

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Autism & I/DD

Intellectual and developmental disabilities (I/DD) are a physical and/or cognitive impairments that occur before the age of 22. Autism spectrum disorder is generally considered a type of developmental disability that affects behaviour and communication. The autism and I/DD market provides supports and health care services to these populations. Over the past decade, there has been an increase in the changes and challenges affecting I/DD and autism markets—the move to managed care and value-based care, the shift away from residential treatment, the increasing emphasis on consumer-directed care, and new workforce challenges.

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Pennsylvania Programs For Individuals With I/DD Have Hidden Waiting Lists 
A review of 129 Pennsylvania programs for people with intellectual/developmental disabilities (I/DD) found that more than half had a “hidden waiting list,” according to a report by the Center for Disability Information (CDI). The report defined a hidden waiting list as existing when a person approved for waiver services by the state Office of Developmental Programs (ODP) has been unable to start receiving services due to provider organization capacity and staffing limitations, or has been… Read

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