NH LEG Children Prosthetic Coverage


On Jun. 24, NH LEG issued bill on prosthetics coverage for children.


  • NH LEG issued Bill SB 177 requiring coverage for prosthetic, activity-specific devices.
  • For children under 19 years of age; required prosthetic coverage be provided by group insurance policies, health service corporations, health maintenance organizations.
  • Not applicable to plans available from small business health options program (SHOP).
  • Bill Provisions
  • Added new section NH INS 415:18-ff, coverage for prosthetic devices for children.
  • Provided for prosthetic devices, materials, usage instructions for enrollee, repairs.
  • Insurer may limit coverage for activity-specific prosthetic devices to one per plan year.
  • Medically necessary prosthetic devices shall not be subject to any annual limits.
  • Also amended NH INS 420-A:2, applicable statutes for health service corporations.
  • Amended reference in NH INS 420-B:20-III, health maintenance organizations.
  • Legislative History
  • On Jan. 10, 2023, bill was introduced in Senate; on Jan. 3, 2024, bill passed Senate.
  • On Feb. 22, 2024, bill was introduced in House; on May 23, 2024, bill passed House.
  • On Jun. 24, 2024, bill was enrolled, adopted; pending actions by the governor.
  • Effectiveness
  • If enacted, bill will become effective on Jan. 1, 2025.
  • Jul. 2024 NH LEG Governor Approval
  • On Jul. 3, 2024, NH LEG reported governor approved bill, effective on Jan. 1, 2025.

Regulators NH LEG
Entity Types Ins
Reference PR, Act, 7/3/2024; Bill SB177, 6/24/2024; Citation: *NH INS* 415, 420-A:2, 420-B:20-III;
Functions Claims/Accelerated Benefits; Compliance; Legal; Product Administration
Countries United States of America
Category
State
Products Disability; Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 6/24/2024
Effective Date 1/1/2025
Rule Id 216503
Linked to N/A
Reg. Last Update 7/3/2024
Report Section US Insurance

Last substantive update on 07/08/2024