SB 1360
An Act providing for insurance coverage for prostheses and orthoses; and imposing duties on the Insurance Department and the Department of Human Services.
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Sign in to take action- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
Bill overview
This act aims to expand insurance coverage for prostheses and orthoses devices, services, and components in Pennsylvania. It requires health insurance policies to cover these items at a level equal to Medicare coverage and mandates that the Insurance Department and the Department of Human Services establish specific duties and procedures. The act also addresses financial requirements, access to providers, and replacement of devices, aiming to improve access to these essential medical aids for individuals.
Key provisions
- Requires health insurance policies to cover prostheses and orthoses devices, services, materials, and components at a level equal to Medicare.
- Establishes coverage for multiple prostheses and orthoses devices when medically necessary.
- Requires coverage for replacement of prosthetic or orthotic devices under certain circumstances.
- Mandates that health insurers provide annual notifications to enrollees regarding coverage details.
- Imposes duties on the Insurance Department to develop and disseminate notices regarding the act’s provisions.
- Requires the Department of Human Services to establish procedures for coverage of prostheses and orthoses under medical assistance programs.
- Specifies that benefits should be considered rehabilitative and habilitative services.
- Outlines financial requirements and access to providers for covered benefits.
Who is affected
- Individuals with disabilities
- Health insurance companies
Sponsors
Official sponsors from legislative records.
Primary sponsor
Christine Tartaglione
Cosponsors
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