Relating to health benefit plan coverage for certain prosthetic devices, orthotic devices, and related services.
If enacted, HB 844 would significantly improve access to necessary medical devices for Texans requiring prosthetic or orthotic interventions. This bill emphasizes the importance of medical professionals' assessments in determining the appropriate devices for enrollees, thus fostering a more tailored approach to healthcare. The requirement for coverage to be equal to federal standards may lead to increased health plan coordination and compliance, ultimately bolstering the overall quality of care provided to affected individuals.
House Bill 844 aims to enhance health benefit plan coverage for certain prosthetic and orthotic devices, as well as related services. The bill introduces Chapter 1371 into the Texas Insurance Code, mandating that health benefit plans cover prosthetic and orthotic devices in a manner that aligns with federal laws, particularly those under the Social Security Act regarding health insurance for the aged and disabled. This coverage is intended to ensure that individuals requiring such devices receive appropriate support in line with their medical needs.
One notable point of contention surrounding HB 844 could be the implementation of prior authorization requirements for prosthetic and orthotic devices, as mentioned in the bill. This provision may raise concerns among health advocates about potential delays in access to necessary care. Moreover, the distinction between in-network and out-of-network services could create discrepancies in coverage, prompting further debate regarding health equity and insurance fairness for enrollees seeking essential medical devices.