Bill > SB0072

This bill requires state employee health plans, accident and sickness insurance policies, and health maintenance organization contracts to provide comprehensive coverage for orthotic and prosthetic devices with several key provisions. The bill mandates coverage for orthotic and prosthetic devices that are determined by a healthcare provider to be the most appropriate for meeting the medical needs of the individual, including devices that support physical activities like running, swimming, and strength training, as well as devices for showering and bathing. The coverage must include all necessary materials, components, user instructions, and medically necessary repairs or replacements. The bill also requires insurers to provide these devices without discriminating based on an individual's disability, ensuring that people with limb loss or absence can receive the same types of devices as those without disabilities. Additionally, the bill requires insurers to ensure access to at least two distinct orthotic and prosthetic device providers in their network and provides mechanisms for out-of-network referrals if necessary. Insurers must submit reports to the insurance commissioner by October 1, 2027, detailing the number and total amount of claims paid for these devices, with the data to be aggregated and reported to legislative committees by December 1, 2027. These provisions will take effect on July 1, 2026, and are set to expire on June 30, 2028.

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https://iga.in.gov/legislative/2026/bills/senate/72/details