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They may apply to all individual and group plans regulated by the state, or they may be more limited.

In 26 states, autism coverage is part of the essential health benefits, typically because coverage was mandated before 2012 and so was included in that state’s “benchmark” plan that sets the standard for coverage there. “For the most part, the states that have passed autism mandates post Dec.

In some cases, they also take issue with the merits of the particular service being considered for mandatory coverage. Under a bill the Democratic governor proposed, the General Assembly, starting next year, would be prohibited from creating any health benefit mandates unless they have first gone through a review focused on, among other things, the cost, effectiveness, safety, current availability, and impact on health care costs and insurance premiums of the particular treatment or service.

The idea is to give legislators the information to determine if the proposed benefit change would “come at a cost to consumers or provide savings,” said Chris Mc Clure, a spokesman for Malloy’s budget office.

The payment requirement is waived until 2016, says Kelly Brantley, a senior manager at Avalere Health who’s looked at mandates related to infertility coverage, and regulations describing how the process will work haven’t yet been issued.

Rather than forgoing mandates altogether, some states are simply excluding from the mandates plans that the states would have to pay for.