Georgia Senate Bill SB265

Georgia 2025-2026 Regular Session

• Introduced: 2/26/25
• Refer: 2/27/25

Caption

Insurance; health benefit policy coverage for medically necessary orthotic devices and prosthetic devices; require

Impact

The introduction of SB 265 is expected to enhance the health insurance coverage landscape in Georgia by mandating that insurers provide benefits for orthotic and prosthetic devices, similar to how they cover other medical devices. This bill aims to alleviate the financial burden on affected individuals by ensuring that they have access to necessary support devices without prohibitive costs. It emphasizes the importance of coverage that matches the essential health benefits required at both state and federal levels.

Summary

Senate Bill 265 seeks to amend the Official Code of Georgia to require health benefit policies to cover medically necessary orthotic and prosthetic devices. The bill outlines specific definitions and requirements for coverage, ensuring that the costs related to these devices are integrated into standard health benefits. This legislation marks a significant step towards improving healthcare access for individuals who rely on these devices for daily living, work-related activities, and personal hygiene.

Contention

Despite the benefits outlined in SB 265, potential challenges may arise regarding its implementation and the extent of coverage mandated. Questions may be raised about the guidelines surrounding what constitutes 'medically necessary' care and how insurers will manage the obligations set forth in the bill. Additionally, there may be financial implications for insurance providers and potential resistance to changes in policy that could affect profitability, which may fuel further debates as the bill moves through the legislative process.