HB216
Health insurance; coverage for prosthetic and custom orthotic devices and components, reports.
Status:
In House
Latest Action:
Jan. 20, 2026
House: Subcommittee recommends laying on the table (9-Y 0-N)
Chief Patron:
Dan Helmer (D)
Session:
2026 Regular Session
Summary
As Introduced. Health insurance; State Plan for Medical Assistance; coverage for prosthetic and custom orthotic devices and components; reports.
Amends provisions related to health insurance coverage for prosthetic devices and components to include custom orthotic devices and components. Under the bill, such coverage does not include repair and replacement due to theft or loss and may include more than one prosthetic or custom orthotic device when medically necessary, as ... (More) determined by an enrollee's provider. The bill prohibits an insurer from denying coverage for a prosthetic or custom orthotic device for an individual with limb loss, limb absence, or limb impairment that would otherwise be covered for a nondisabled individual seeking medical or surgical intervention. The bill requires health plans that provide such coverage to include language describing an enrollee's rights related to coverage for prosthetic and custom orthotic devices and provide a written explanation of any claim denials. (Less)-
Bill History
- 01/07/2026 - House: Prefiled and ordered printed; Offered 01-14-2026 26104550D
- 01/07/2026 - House: Referred to Committee on Labor and Commerce
- 01/15/2026 - House: Assigned HCL sub: Subcommittee #1
- 01/19/2026 - House: Placed on Labor and Commerce Agenda
- 01/20/2026 - House: Subcommittee recommends laying on the table (9-Y 0-N)
