This bill seeks to improve the coverage and accessibility of prosthetic and orthotic devices for individuals with limb loss or differences by amending several sections of the General Laws, including Chapter 32A, Chapter 118E, Chapter 175, Chapter 176A, and Chapter 176B. It introduces definitions for "orthosis" and "prosthetic device" and mandates that insurers provide coverage for these devices in a nondiscriminatory manner. Insurers are prohibited from denying coverage for habilitative or rehabilitative benefits based on an insured's actual or perceived disability. The bill also ensures that coverage includes both primary and custom-built devices for physical activities, as well as provisions for repair or replacement without restrictive conditions.

Additionally, the legislation requires health plans to provide access to at least two distinct providers for prosthetic and orthotic services within their networks and outlines the conditions for device replacements. It emphasizes that coverage for prosthetic and custom orthotic devices should not have separate financial requirements that are more restrictive than those for other medical services. Overall, the bill aims to enhance the quality of life for individuals with limb loss by ensuring equitable access to necessary medical devices and services, reinforcing the commitment to nondiscriminatory practices in healthcare.

Statutes affected:
Bill Text: 32A-17I, 175-47Z, 176A-8AA, 176B-4AA, 176G-4S