This bill amends Alaska's insurance laws to require health care insurers to provide coverage for prosthetic and orthotic devices, ensuring that such coverage is at least equal to the standards set by federal law (42 U.S.C. 1395k - 1395m). The bill specifies that coverage must include all necessary devices as determined by a healthcare provider, along with materials, components, and instructions for use. It mandates coverage for repair or replacement of devices without restrictions based on their useful lifetime, provided that changes in the covered person's condition necessitate such actions. Additionally, insurers must classify these benefits appropriately and cannot impose more restrictive cost-sharing requirements for prosthetic and orthotic services compared to other medical services.

Furthermore, the bill amends the medical assistance services under AS 47.07.030(b) to include coverage for prosthetic and orthotic devices, aligning with the new requirements established in AS 21.42.445. It also introduces reporting requirements for insurers regarding claims related to these services and outlines the conditions under which the amendments will take effect, contingent upon federal approval of the necessary changes to the state plan for medical assistance. The bill aims to enhance access to essential medical devices for individuals with limb loss or absence, ensuring equitable treatment in health care coverage.

Statutes affected:
HB0272A, AM HB 272, introduced 01/23/2026: 47.07.030, 47.07.063, 21.42.375, 21.42.445