Maryland Medical Assistance Program and Health Insurance - Coverage for Orthoses (So Every Body Can Move Act)
This legislation represents a significant change in health policy within Maryland, specifically reinforcing the rights of patients to access vital orthotic services. It establishes standards for insurance coverage, including provisions to prevent higher co-payments or cost-sharing compared to other similar medical benefits. The bill reflects a commitment to equalize access to necessary medical equipment for all Maryland residents, aligning with broader health equity objectives. It is expected that this coverage will reduce financial burden on patients who rely on orthoses for mobility and overall quality of life.
House Bill 383, titled 'So Every Body Can Move Act', mandates that the Maryland Medical Assistance Program, along with certain insurers and health maintenance organizations, provide coverage for orthoses beginning January 1, 2026. The bill aims to ensure that individuals who require orthotic devices for completing daily activities, job-related tasks, or physical activities receive necessary support for a healthier lifestyle. By covering devices deemed medically necessary by healthcare providers, the bill seeks to improve access to essential medical supplies for those with neuromuscular or musculoskeletal disorders.
There may be points of contention surrounding HB383 as insurers and health organizations might express concerns regarding the financial impact of mandated orthotic coverage. Potential disputes could arise over the definition of 'medically necessary' and how it aligns with existing insurance policies, particularly regarding the costs associated with providing replacements and repairs. Additionally, the bill's mandate to report compliance may trigger debate about the scalability of enforcing such provisions across various healthcare providers and organizations, ensuring that all entities meet the requirements stipulated in the bill.