Maryland Medical Assistance Program and Health Insurance - Coverage for Prostheses (So Every Body Can Move Act)
This legislation significantly impacts state law relating to health insurance coverage by establishing that coverage for orthoses and prostheses must be provided without regard to the insured's disability status. Insurers are prohibited from denying benefits solely on the basis of a person's actual or perceived disabilities, thereby aligning state laws with the principles of non-discrimination and equitable access to healthcare for all individuals.
House Bill 865, known as the 'So Every Body Can Move Act', is a legislative measure in Maryland that mandates the provision of coverage for orthoses and prostheses under the Maryland Medical Assistance Program and certain insurers. The bill aims to eliminate discriminatory practices in the coverage of these medical aids, ensuring that individuals with disabilities receive equitable treatment in healthcare. The bill goes into effect on January 1, 2025, and expands the range of benefits that insurers must provide, specifically targeting the accessibility of essential medical devices for individuals who require them due to injury or congenital conditions.
The general sentiment around HB 865 has been predominantly supportive, as it seeks to improve healthcare access for individuals who rely on orthotic and prosthetic devices for daily functioning. Some stakeholders, including disability advocates, view the bill as a progressive step toward inclusivity in healthcare policies. However, concerns have been raised by some insurers regarding the financial implications of the mandated coverage and the potential for increased premiums for all policyholders.
Notable points of contention surrounding the bill include debates over the adequacy of current reimbursement rates for orthotic and prosthetic services and whether the bill might lead to increased healthcare costs. There are also discussions on how this legislation will impact healthcare providers and the operations of managed care organizations, which may need to adapt their practices to comply with the new regulatory requirements. The necessity of a two-provider network within the state's coverage framework has also raised concerns about availability and access for patients.