Legislation requires insurance coverage for medically necessary prosthetic or custom orthotic devices to maximize the patient's whole-body health and function.
Benefits shall be provided for a prosthetic or custom orthotic device determined by the enrollee's provider to be the most appropriate model that is medically necessary.
Applies to enrollees at any age, in addition to coverage of a prosthetic orthotic device.
Requirements of the provisions do not constitute an addition to State's essential health benefits that requires defrayal of costs by the State pursuant to specified federal law.
Legislative History
On Feb. 10, 2023, bill was introduced in Senate, on Mar. 29, 2023, bill passed Senate.
On Mar. 30, 2023, bill was introduced in House, on May 11, 2023, bill passed House.
On Aug. 7, 2023, bill approved by governor and designated as Public Act 103-0512.
Effectiveness
Provisions on youth prosthetic insurance coverage becomes effective on Jan. 1, 2025.
Regulators
ILL LEG
Entity Types
Ins
Reference
Act 103-0512, Bill SB2195, 8/7/2023; Citation: ILL INS 215-5/356z-18;
