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07/29/2021 05:12 AM
Pennsylvania State Senate
https://www.legis.state.pa.us/cfdocs/Legis/CSM/showMemoPublic.cfm?chamber=S&SPick=20190&cosponId=31941
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Senate Co-Sponsorship Memoranda

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Senate of Pennsylvania
Session of 2019 - 2020 Regular Session

MEMORANDUM

Posted: June 9, 2020 03:12 PM
From: Senator Bob Mensch
To: All Senate members
Subject: Insurance Coverage for Prosthetics
 
In the near future, I plan on introducing legislation which will provide insurance coverage for any prosthetic or orthotic device and/or component.  

Unfortunately, it’s a little known fact that in Pennsylvania, most insurance coverages have some type of cap on prosthetics, including artificial limbs, which can equate to coverage for only one prosthetic per life time.  This is particularly worrisome for children or young adults who suffer a catastrophic injury and then grow out of their one device, and need a new one only to find it’s not covered under their plan.

Specifically, my legislation will require that health insurers provide coverage for expenses incurred in obtaining any orthotic or prosthetic device and/or component. The bill requires health insurers, on and after the bill's effective date, to reimburse for these benefits at the same rate as reimbursement for orthotic and prosthetic devices under the federal Medicare reimbursement schedule.

This legislation is supported by the Amputee Coalition of Pennsylvania, and right now, there are over twenty states, including New Jersey, Delaware, Maryland, and Virginia which have laws like this.  I think it is time we join these other states and extend these needed benefits to those who need it.

Please join me in co-sponsoring this important piece of legislation.



Introduced as SB1298