On May 17, MD LEG enacted bill to extend coverage for prostheses.
MD LEG enacted Bill SB 614 / HB 865 titled So every body can move act, expanded current mandated benefit for coverage of prosthetic devices to include replacements.
Beginning Jan. 1, 2025, Medicaid must provide coverage for prostheses, as specified.
Maryland health care commission (MHCC), Maryland Department of Health (MDH) must review utilization of specified codes, evaluate cost impact of requiring coverage.
Report to specified committees of the General Assembly by Dec. 1, 2024.
Required reporting by insurers, nonprofit health service plan, health maintenance organization (HMO) (collectively, carriers), Medicaid managed care organization (MCO).
Must submit specified compliance report by Jun. 30, 2030, which must be aggregated, reported to specified committees of MD LEG General Assembly by Dec. 31, 2030.
Legislative History
On Jan. 26, 2024, bill was introduced in Senate; on Mar. 18, 2024, bill passed Senate.
On Mar. 19, 2024, bill was introduced in House; on Apr. 8, 2024, bill passed House.
On May 16, 2024, HB 865 / SB 614 signed by governor, assigned Ch 822 and 823.
Effectiveness
The bill takes effect Jan. 1, 2025, and applies to all policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or after that date.
Regulators
MD LEG
Entity Types
Ins
Reference
Ch. 823, 822, Bill SB0614, HB0865, 5/17/2024; Citation: MD LEG 15-103; *MD INS* 15-820, 15-844;
