Ally’s Act
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To President
- Became Law
Overview
The Ally’s Act requires private health insurance plans to cover hearing devices and systems, including implants, maintenance, upgrades, and related services. It ensures that coverage for these items is no more restrictive than other medical benefits and prohibits plans from denying coverage based on a determination of medical necessity by a physician or qualified audiologist. The bill also amends related laws, including ERISA and the Internal Revenue Code, to achieve these coverage requirements.
Key provisions
- Requires private health insurance plans to cover auditory implant devices and external sound processors.
- Mandates coverage for the maintenance, upgrades (every 5 years), repair, and adhesive adapters/headbands of these devices.
- Requires comprehensive hearing assessments and preoperative/postoperative medical visits.
- Prohibits plans from denying coverage based on a determination of medical necessity by a physician or qualified audiologist.
- Ensures financial and treatment requirements for hearing device coverage are no more restrictive than other medical benefits.
- Includes coverage for aural rehabilitation and treatment services.
- Applies to plan years beginning on or after January 1, 2026.
Who is affected
- Individuals with hearing loss
- Private health insurance companies
- Group health plan sponsors
- Healthcare providers (physicians and audiologists)
Bill text
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Sponsors
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105 on record
Primary sponsor
Cosponsors
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