If enacted, SB1135 would obligate health plans to cover auditory devices, which are critical for individuals experiencing hearing impairment. This includes provisions for auditory implants like cochlear devices and external sound processors, as well as comprehensive assessments and necessary follow-up care. The coverage requirements laid out in the bill would prevent insurers from denying claims based on medical necessity evaluations, effectively enhancing access to hearing-related care for qualifying individuals.
SB1135, known as 'Ally's Act,' is a legislative measure designed to expand insurance coverage concerning hearing devices and systems. The bill seeks to amend several existing statutes, including the Public Health Service Act, the Employee Retirement Income Security Act, and the Internal Revenue Code. One of the main objectives is to ensure that private health insurance plans provide adequate coverage for various auditory devices, maintenance, and necessary medical services related to hearing loss. This includes coverage for auditory implants and their associated components, surgery, and rehabilitation services.
Notable points of contention surrounding SB1135 may arise from concerns about the financial implications for insurance providers and the potential for increased premiums. Opponents of mandatory coverage expansions may argue that such requirements could lead to higher costs for consumers. Supporters advocate for the necessity of this legislation, emphasizing the importance of hearing health in overall quality of life and arguing that expanded coverage is a critical step towards equal access to necessary medical devices.