The "Every Body Can Move Act" mandates that all individual and group health insurance policies in Kansas providing coverage for hospital, medical, or surgical expenses must include coverage for prosthetic and orthotic devices. This coverage must meet or exceed the standards set forth in federal law, specifically referencing 42 U.S.C. and 42 C.F.R. The act outlines that coverage should encompass not only the devices themselves but also necessary materials, components, and supplies, as well as instructions for use and provisions for replacement under certain conditions. Additionally, it emphasizes that coverage should be available for devices that enable enrollees to perform daily activities, physical activities, and personal care tasks.
The bill also stipulates that insurers must treat coverage for prosthetic and orthotic devices as rehabilitative and habilitative services, ensuring that such coverage is not denied based on an enrollee's disability. Insurers are required to provide clear information regarding enrollee rights related to these benefits and cannot impose separate financial requirements for prosthetic and orthotic coverage. Furthermore, the act mandates that health plans must ensure access to at least two distinct providers for these devices within their network and outlines reimbursement protocols for out-of-network providers if necessary. The provisions of this act will apply to all relevant policies renewed or issued in Kansas on or after January 11, 2027.