House Bill 4343 Summary

• Amends the Social Welfare Act to require Medicaid coverage of cranial hair prostheses for eligible individuals under age 19 who experience hair loss due to medical conditions or medical treatments.

• Specifies that cranial hair prosthesis coverage (including human or synthetic substitutes) cannot be subject to dollar limits, deductibles, or coinsurance provisions that are less favorable than coverage for other prostheses.

• Requires the director to provide public notice and obtain approval from both House and Senate appropriations committees before implementing any changes to Medicaid reimbursement methods or levels that would increase or decrease payments by 1% or more over a 12-month period.

• Takes effect 90 days after enactment into law.