Bill > SB132

This bill requires health insurance policies to expand prosthetic device coverage to include adults over 19 years of age, extending existing protections that previously only applied to children. Under the proposed legislation, insurers must provide coverage for prosthetic devices, including "activity-specific prosthetic devices" which are specialized devices designed for specific activities that might damage standard prosthetics. The bill allows insurers to limit activity-specific prosthetic devices to one device every 5 years for adults, while ensuring that medically necessary prosthetic devices are not subject to annual limits. Covered benefits include all device components, user instructions, and device repair or replacement when medically necessary. The bill defines "prosthetic" as an artificial body part substitute for functional or therapeutic purposes and specifically excludes plans available through the Small Business Health Options Program (SHOP). The legislation will take effect on January 1, 2026, and is estimated to potentially impact between 890 to 2,670 individuals annually, with potential statewide claims costs ranging from $20 million to $60 million. The bill aims to provide more comprehensive prosthetic coverage that supports individuals' functional needs and quality of life across all age groups.

Health and Social Services

https://gc.nh.gov/bill_status/legacy/bs2016/bill_docket.aspx?lsr=1068&sy=2025&sortoption=&txtsessionyear=2025&txtbillnumber=SB132