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2022 SESSION
SB 405 Health insurance; coverage for prosthetic devices and components.
Introduced by: George L. Barker | all patrons ... notes | add to my profiles | history
SUMMARY AS PASSED:
Health insurance; coverage for prosthetic devices. Requires health insurers, corporations providing health care coverage subscription contracts, health maintenance organizations, and the Commonwealth's Medicaid program to provide coverage for medically necessary prosthetic devices, including myoelectric, biomechanical, or microprocessor-controlled prosthetic devices. The provisions of the bill apply only in the large group markets. The provisions of the bill apply to any policies issued or delivered on and after January 1, 2023. This bill is identical to HB 925.
SUMMARY AS PASSED SENATE:
Health insurance; coverage for prosthetic devices. Requires health insurers, corporations providing health care coverage subscription contracts, and health maintenance organizations to provide coverage for medically necessary prosthetic devices, including myoelectric, biomechanical, or microprocessor-controlled prosthetic devices. The measure repeals the existing requirement that coverage for prosthetic devices be offered and made available. The measure applies to policies, contracts, and plans delivered, issued for delivery, or renewed on or after January 1, 2023, or at any time thereafter when any term of the policy, contract, or plan is changed or any premium adjustment is made. This bill is a recommendation of the Health Insurance Reform Commission.
SUMMARY AS INTRODUCED:
Health insurance; coverage for prosthetic devices. Requires health insurers, corporations providing health care coverage subscription contracts, and health maintenance organizations to provide coverage for prosthetic devices, including myoelectric, biomechanical, or microprocessor-controlled prosthetic devices that have a Medicare code. The measure repeals the existing requirement that coverage for prosthetic devices be offered and made available. The measure applies to policies, contracts, and plans delivered, issued for delivery, or renewed on or after January 1, 2023, or at any time thereafter when any term of the policy, contract, or plan is changed or any premium adjustment is made. This bill is a recommendation of the Health Insurance Reform Commission.