Health Insurance Coverage Amendments
SB 214 amends Utah's insurance code to expand who can diagnose autism spectrum disorder (ASD) for insurance coverage purposes. It adds licensed clinical social workers, mental health counselors, marriage and family therapists, and advanced practice nurses to the list of qualified professionals allowed to make ASD diagnoses, alongside existing doctors and psychologists. The bill also includes a coordination clause requiring the related bill SB 256 to pass first before it takes effect. This change directly affects health insurance plans covering ASD diagnosis and treatment, ensuring more licensed providers can initiate coverage without requiring a physician diagnosis. The bill does not alter coverage limits for treatment, which remain governed by other sections of the code.
Bill status
passed
3 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Feb 2025
House Passage
Feb 2025
Governor
Introduced Feb 4, 2025
Last action Mar 8, 2025
Maddy AI version diff · 2 comparisons
What changed between versions
Substitute #1
→
Substitute #2
·
4 edits
MODERATE
This bill substitute adds a coordination clause requiring S.B. 256 to pass before S.B. 214 takes effect, removes the 'medically necessary' requirement from the diagnosis definition, and broadens who can diagnose autism spectrum disorder by allowing individuals qualified through education and training rather than just specific licensed professionals.
Scope change
The bill now depends on the passage of another bill (S.B. 256) before it can take effect, and expands the pool of qualified professionals who can diagnose autism spectrum disorder beyond just physicians and psychologists.
REQUIREMENT
Added a coordination clause making this bill contingent on the passage of S.B. 256 before it can take effect.
DEFINITION
Removed the 'medically necessary' language from the diagnosis definition and added a new category allowing individuals qualified through education, training, and experience to administer diagnostic assessments.
Modified the treatment definition to allow individuals described in the new diagnosis category to determine care as medically necessary, rather than only physicians and licensed psychologists.
TECHNICAL
Removed the original effective date of January 1, 2026 and replaced it with a coordination clause that changes when the bill can take effect.
Floor votes
How they voted
This bill passed the House by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
27
Key actions
2
Committee
3
Feb 27, 2025
Committee
House/ to standing committee
lower
Feb 25, 2025
Introduced
House/ 1st reading (Introduced)
lower
Feb 25, 2025
Lower · Passed
Senate/ passed 3rd reading
lower
Feb 21, 2025
Upper · Passed
Senate Comm - Favorable Recommendation
upper
Feb 4, 2025
Committee
Senate/ to standing committee
upper
Feb 4, 2025
Introduced
Senate/ 1st reading (Introduced)
upper
1 primary · 1 co-sponsor
Sponsors
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