The way I understand the procedure, and I'm sure it varies by model and year, is Honda only recommends drains and refills. On a late model Accord for instance the ATF service light will come on at some high milage maybe 60K miles or so. This indicates that all the old fluid needs changed. The way to do this is a total 4X drain and refills, and there is a procedure where on a lift you run through the gears several times to distribute the fluid between drains.
The idea is within 60K-100K you want to have completely changed out all of the old ATF, which would require about 4 drain and refills. The tranny holds about 7 qts and each drain might get out about 3.5 qts so it takes 4 drains to get ~90% of the old ATF out.Some people just opt to do it once every 15-30K to get there. Then there are some you drain the ATF every 7500 miles with the oil change, or do 3-4 every 30K miles. That seems like overkill and doing 1 drain every 15 or 3-4 every 60K seems about right.
Also Honda AT have a filter, most of the 4cyl models have one in the transmission line, and some V6s have one that is like a cartridge in the AT. It should be changed too at some point.