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NC S868
Bill
AI Summary
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Requires all health benefit plans offered by insurers in North Carolina to cover adaptive exercise equipment for individuals with chronic mobility impairments resulting in lifelong wheelchair use.
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Defines "adaptive exercise equipment" as any machine, device, or tool designed to accommodate the improvement or maintenance of physical health.
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Applies the same copayment, coinsurance, and deductible provisions to adaptive exercise equipment as similar durable medical equipment covered under health benefit plans.
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Allows insurers to apply utilization review criteria to determine medical necessity, subject to appeal processes and external review requirements under existing state law.
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Appropriates $10,000 in nonrecurring funds to Disability Rights North Carolina for public education regarding the law's effects, effective July 1, 2022, with coverage requirements effective October 1, 2022.
Legislative Description
Adaptive Exercise Equipment Coverage
Appropriations
Last Action
Ref To Com On Rules and Operations of the Senate
5/27/2022