Vermont 2025-2026 Regular Session

Vermont House Bill H0432

Introduced
2/28/25  

Caption

An act relating to health insurance coverage for prosthetic and orthotic devices

Impact

The passage of H0432 would significantly impact state laws regarding health insurance coverage, particularly by removing limitations that previously existed for prosthetic and orthotic devices. It would require insurers to offer coverage that does not impose annual or lifetime maximums that are less favorable than other covered services. This change is expected to enhance access to necessary medical devices for residents in Vermont, thereby improving health outcomes for those who rely on such supports.

Summary

House Bill H0432 seeks to expand health insurance coverage for prosthetic and orthotic devices within the state of Vermont. The bill mandates that all health insurance plans, including those administered by the state, must provide coverage equivalent to Medicare's standards for these devices. By aligning state health insurance plans with federal standards, the bill aims to ensure that individuals requiring such devices receive adequate coverage to meet their medical needs without facing prohibitive costs.

Contention

Notable points of contention surrounding H0432 include concerns over the additional financial burdens that might be placed on insurers as they adjust to the new requirements. There are fears that insurance premiums could rise as a result of mandated broader coverage. Opponents may argue that while the intent is to enhance care and accessibility, there should be cautious consideration of the potential economic impacts on the state’s health insurance market. Supporters counter that the societal benefits of providing comprehensive care for individuals needing prosthetic and orthotic devices outweigh these concerns.

Companion Bills

No companion bills found.

Similar Bills

MA S811

To improve outcomes for those with limb loss and limb difference

MA H1178

To improve outcomes for persons with limb loss and limb difference

NH SB132

Relative to health insurance coverage for prosthetics.

UT HB0564

Heath Insurance Prosthetic Amendments

NJ A3856

Requires health benefits coverage for additional orthotic and prosthetic appliances under certain circumstances; requires coverage for orthotic and prosthetic appliances obtained through podiatrists.

NJ S1439

Requires health benefits coverage for additional orthotic and prosthetic appliances under certain circumstances; requires coverage for orthotic and prosthetic appliances obtained through podiatrists.

IN SB0270

Coverage of orthotic and prosthetic devices.

HI SR142

Requesting Health Insurers And Managed Care Providers That Provide Health Insurance In The State To Provide Insurance Coverage For Prosthetic And Orthotic Devices.