Ally’s Act
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed House
- To President
- Became Law
Overview
Ally’s Act aims to improve access to hearing healthcare by requiring private health insurance plans to cover hearing devices and systems, including implants, maintenance, upgrades, and related services. The bill amends several key pieces of legislation – the Public Health Service Act, ERISA, and the Internal Revenue Code – to ensure consistent coverage standards. It also prohibits insurance plans from denying coverage based on a determination of medical necessity by a qualified professional.
Key provisions
- Requires private health insurance plans to cover auditory implant devices (including cochlear and osseointegrated implants) and external sound processors.
- Mandates coverage for the maintenance, upgrades (every 5 years), repair, and adhesive adapters/headbands associated with these devices.
- Includes coverage for comprehensive hearing assessments, preoperative and postoperative medical visits, and aural rehabilitation services.
- Ensures that financial and treatment requirements for hearing device coverage are no more restrictive than those for other medical services.
- Prohibits insurance plans from denying coverage based on a determination of medical necessity by a physician or qualified audiologist.
- Applies to grandfathered health plans through an amendment to the Affordable Care Act.
- Establishes an effective date of January 1, 2026.
Who is affected
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Sponsors
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