California has no annual cap under the S.B. 946 (2011). Here's what families and operators need to know.
No annual cap · S.B. 946 (2011)Updated April 2026S.B. 946 (2011)
2011
Medi-Cal covers ABA through EPSDT for children under 21 with autism diagnosis.
One of the strongest mandates in the country. No dollar cap, no age limit, and applies to all fully-insured plans. Large-group and small-group plans must cover behavioral health treatment including ABA.
Yes. California's S.B. 946 (2011) requires all fully-insured health plans to cover behavioral health treatment, including ABA, for individuals with autism. There is no annual dollar cap and no age limit.
Yes. Medi-Cal covers ABA therapy for children under 21 with an autism diagnosis through the EPSDT benefit. Regional centers also coordinate ABA services for eligible individuals.
California's mandate has no dollar cap, no age limit, and applies broadly to all fully-insured plans. Combined with strong enforcement by the DMHC, it provides some of the most comprehensive ABA coverage in the nation.
Higglo works with ABA providers across California on marketing, intake, and growth. Talk to our team about your program.
