Creates provisions relating to prosthetists and orthotists
Impact
The bill repeals existing regulations under section 376.1232 and replaces them with new provisions that further establish the roles and responsibilities of health carriers regarding coverage for orthotic and prosthetic devices. Specifically, it mandates that all health benefit plans offer coverage for these services, establishing standards for reimbursement that align with Medicare rates. This change is seen as a significant step toward ensuring that patients receive adequate support for their rehabilitation needs while addressing issues related to documentation and prior authorization processes for providers.
Summary
House Bill 2115 focuses on the provision of services related to orthotics and prosthetics by allowing certified orthotists and prosthetists to evaluate and initiate treatment without a prior prescription or referral from a physician. This change aims to streamline access to these critical medical services and reduce delays in patient care. By enabling certified professionals to act independently within their scope of practice, the bill intends to enhance patient outcomes and facilitate timely access to necessary medical devices.
Contention
While proponents argue that HB2115 will simplify access to crucial medical treatments and encourage the use of qualified professionals, there are concerns about the implications for oversight and patient safety. Some critics argue that relaxing the requirements for prescriptions could lead to potential misuse and that proper referral pathways to physicians for complex cases should remain in place. As with many healthcare bills, balancing patient autonomy and safety continues to be a hot topic of discussion among stakeholders. The bill may encounter opposition from those advocating for stricter regulations concerning medical device provision.