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FL H1003
Bill
Status
Failed
3/8/2024
Primary Sponsor
Melony Bell
Click for details
AI Summary
- Individual health insurance policies, group/blanket/franchise health insurance policies, and health maintenance contracts issued or renewed on or after July 1, 2024, must cover orthoses and prostheses deemed medically necessary for activities of daily living, job-related activities, and physical recreational activities such as running, biking, and swimming
- Coverage must include replacement of orthotic or prosthetic devices without regard to continuous use or useful lifetime restrictions when medically necessary due to a change in the patient's condition, irreparable device damage, or when repair costs exceed 60% of replacement cost
- Health insurers and HMOs are prohibited from denying orthotic or prosthetic claims for individuals with limb loss or limb absence when equivalent medical or surgical interventions would be covered for a nondisabled person
- The Agency for Health Care Administration is authorized to pay for orthotics and prosthetics services for Medicaid recipients, subject to specific appropriations, including the devices, materials, instruction, and necessary repairs or replacements
- Beginning July 1, 2025, health insurers and HMOs must submit annual reports to the Office of Insurance Regulation detailing the total number of orthotic and prosthetic claims submitted, the number paid, and the amounts paid
Legislative Description
Coverage for Orthotics and Prosthetics Services
Last Action
Died in Select Committee on Health Innovation
3/8/2024
Committee Referrals
Select Committee on Health Innovation1/8/2024
Full Bill Text
No bill text available