The bill mandates that, starting January 1, 2024, nongrandfathered group health plans (excluding small group plans) must provide coverage for hearing instruments, including bone conduction devices, but not over-the-counter hearing instruments. Coverage will include the initial assessment, fitting, adjustment, auditory training, and ear molds necessary for optimal fit, with a minimum coverage of $3,000 per ear every 36 months. Additionally, services related to hearing instruments will not be subject to the enrollee's deductible unless the health plan qualifies for a health savings account, in which case a minimal deductible may apply. For minors under 18, coverage is contingent upon receiving medical clearance from an otolaryngologist or a licensed physician within the last six months.

The bill also amends existing law to ensure that health plans for public employees and their dependents issued or renewed after January 1, 2024, comply with the new coverage requirements. Furthermore, the previous requirement for hearing instrument coverage, which mandated a new device every five years, will expire on December 31, 2023. This legislation aims to enhance access to necessary hearing aids and related services for individuals with hearing loss.

Statutes affected:
Original Bill: 48.43.715
Substitute Bill: 48.43.715
Engrossed Substitute: 48.43.715, 41.05.830
Bill as Passed Legislature: 41.05.830
Session Law: 41.05.830