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Amplitude

Prosthetic Insurance Reform for Amputees

March 12, 2025
0

SO EVERYBODY CAN MOVE BILL TRACKER 2025

MARCH 12 UPDATE: Last week, SEBCM bills in Washington and Georgia cleared one legislative chamber apiece, by the usual lopsided margins: 117-2 in the Georgia House, 43-6 in the Washington Senate. Those states join New Jersey in the halfway home column, giving the movement three strong candidates for full passage in 2025.

Five states (Connecticut, Oregon, Tennessee, Utah, and Vermont) are all considering bills for the first time, and a sixth (North Carolina) is likely to join them during this session. A seventh state (Hawaii) has introduced an SEBCM resolution this year, which is an interim step toward consideration of an actual bill.

Indiana’s docket has an SEBCM bill for the third straight year, while Massachusetts and Nebraska are each taking a second crack at it. And New Hampshire, which passed SEBCM last session for amputees aged 19 and under, is working to expand the coverage to all adults. That bill has lickety-splitted its way through two committees so far.

That makes 12 active bills overall, plus Hawaii’s resolution and a possible 13th bill in NC. Check back often for updates.

Arkansas / PASSED (2023)

Bill number: HB 1252 (AR legislative tracker)
Current status:
SIGNED INTO LAW: Passed full Senate 30-1 on April 5, and full House (as amended by Senate) 95-0 on April 6; signed by Gov. Sarah Huckabee Sanders on April 13

About the bill: Requires insurers to cover the most appropriate prosthetic device that adequately meets the patient’s medical and recreational needs, as determined by the physician and prosthetist. These provisions apply only to K-3 and K-4 amputees, as per a Senate amendment. 

Colorado / PASSED (2023)

Bill number: HB23-1136 (CO legislative tracker)
Current status:
SIGNED INTO LAW: Passed Senate 34-0 on 5/1/23; passed House 62-1 on 4/18/23; signed into law on 5/25/23

Lead advocates: Rocky Mountain Orthotic & Prosthetic Coalition (RMOPC)
About the bill: Requires insurers to cover recreational prosthetic devices for amputees of all ages if treating physician determines the device is medically necessary.

Connecticut / In committee

Bill number: SB 1015
Current status:
Pending before Joint Committee on Insurance and Real Estate
Next step:

Lead sponsors: Reps. Rebecca Martinez and Steven Winter
Lead advocates: Herb Kolodny, Linda Mitsou, Brenda Novak
About the bill: Requires all individual and group health insurance policies to provide health insurance coverage for activity-specific prosthetic and orthotic devices. FULL TEXT

Delaware

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Florida

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Georgia / Passed House, Pending Senate

Bill number: HB 87
Current status:
Passed House 171-2 on 3/6/25
Next step:
Pending before Senate Insurance and Labor Committee

Lead sponsor: Rep. David Clark
Lead advocates: Rachael Auyer and Cristalei Polk
Bill summary: FULL TEXT

Illinois / PASSED (2023)

Bill number: SB 2195 (IL legislative tracker)
Current status:
SIGNED INTO LAW: Passed Senate 57-0 on 3/29/23; passed House 111-0 on 5/11/23; signed into law 8/7/23

About the bill: Requires insurers to cover recreational prosthetic devices for all amputees aged 18 or younger if treating physician determines the device is medically necessary. Requires private insurers to offer prosthetic coverage to all amputees, regardless of age, equal to or better than Medicare prosthetic coverage. FULL TEXT

Indiana / In committee

Bill number: SB 270
Current status:
Referred to Senate Committee on Insurance and Financial Institutions
Next step:

Previous sessions:
* 2023: Passed House of Representatives (91-0); approved by Senate Health and Provider Services Committee (11-0); died in committee
* 2024: Died in committee

Lead sponsors: Sen. Andrea Hunley
About the bill: FULL TEXT

Maine / PASSED (2022)

Bill number:
Current status:
SIGNED INTO LAW: Signed into law on 5/7/22

About the bill: Requires insurers to cover recreational prosthetic devices for all amputees aged 18 or younger if treating physician determines the device is medically necessary. FULL TEXT

Maryland / PASSED (2024)

Bill number: SB 614 / HB 865 (MD legislative tracker)
Current status:
SIGNED INTO LAW: Passed Senate 45-0 on 3/18/24; passed House 129-1 on 4/5/24; signed into law 5/16/24

About the bill: Requires insurers to cover all devices deemed medically necessary by a physician for activities of daily living, essential job-related activities, and/or physical activities such as running, biking, swimming, strength training, or other activities necessary to maximize whole-body health. Also requires insurers to cover replacement devices and components, as deemed necessary by healthcare provider. FULL TEXT

Massachusetts / In committee

Bill number: H3787/S836
Current status:
Referred to Joint Committee on Financial services on 2/27/25
Next step:
Previous sessions:
Approved by two House committees, 2023-24

Lead sponsors: Rep. Carlos Gonzalez, Sen. John Velis
Lead advocates: Maggie Baumer
About the bill: FULL TEXT

Michigan

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Minnesota / PASSED (2024)

Bill number: HF 3339 / SF 3351 (MN House tracker / MN Senate tracker)
Current status:
SIGNED INTO LAW: Passed both chambers on 5/20/24, as part of omnibus healthcare package

About the bill: Requires health plans to cover prostheses determined by patient’s provider to be most appropriate for meeting medical needs and for performing physical activities, including but not limited to running, biking, and swimming. Also covers prostheses for showering and bathing. Insurer may require prior authorization. Includes Fair Insurance provisions. FULL TEXT

Nebraska / In committee

Bill number: LB410
Current status:
Pending before Banking, Commerce + Insurance Committee; hearing held on March 10
Next step:

Lead sponsors: Sen. Machaela Cavanaugh
About the bill: FULL TEXT

New Hampshire / PASSED (2024) / New Bill Introduced (2025)

Bill number: SB132-FN
Current status:
Approved by Senate Finance Committee 6-0 on 3/11/25; tabled by Senate 3/20/25
Next steps: Senate floor vote, no date scheduled
Previous sessions: 2024, SB177-FN signed into law

Lead sponsors: Sen. William Gannon
About the bill: Expands 2024 law, requiring insurers to cover activity-specific prosthetics for minors, to include adults FULL TEXT

New Jersey / Passed Senate, Pending House

Bill number: S-1439 / A-3856
Current status:
* Senate: Approved 40-0 by full Senate
*
House: Approved unanimously, with amendments, by Financial Institutions + Insurance and Appropriations committees
Next step:
House floor vote
Shelf life:
Must pass Assembly by December 2025, or will need to be reintroduced in 2026 session

Previous sessions: 2022-23: Passed Senate 35-0 but failed to win Assembly approval before end of session

Lead sponsors: Sen. Troy Singleton, Sen. Anthony Bucco
Lead advocates: Steve Slawinski, CPO, Kelly Worrell, and Jen Marmino
About the bill: Requires coverage for all devices that are determined by the patient’s physician to be necessary for physical and recreational activities, including running, bicycling, swimming, climbing, skiing, snowboarding, and team and individual sports. Reimbursement is tied to federal Medicare reimbursement rates.

New Mexico / PASSED (2023)

Bill number: HB-131 (NM legislative tracker)
Current status:
SIGNED INTO LAW: Passed House 68-0 on 2/14/23; passed Senate 41-0 on 3/14/23; signed into law on 4/6/23 

About the bill: Requires insurers to cover recreational prosthetic devices for all amputees, regardless of age, if treating physician determines the device is medically necessary. Requires private insurers to offer prosthetic coverage equal to or better than Medicare prosthetic coverage. FULL TEXT

North Carolina

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Ohio

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Oregon / In committee

Bill number: SB 699
Current status:
Passed full Senate 29-0 on April 17
Next step:
Referred to House, awaiting committee assignment

SUPPORT THE BILL: https://p2a.co/WhlSb8K

Primary sponsor: Sen. Lisa Reynolds
Lead advocates: SaraMae Hollandsworth and Dee Palagi
Bill summary: Requires insurers to cover prosthetic and orthotic devices (including activity-specific devices) deemed medically necessary by healthcare provider. Takes effect immediately upon passage. FULL TEXT

Pennsylvania

Bill number:
Current status:
Next step:
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Tennessee / In committee

Bill number: HB406 / SB422
Current status:
Referred to House Insurance Committee, Senate Commerce + Labor Committee
Next step:
Senate committee hearing scheduled 3/18

Lead sponsors: Rep. Brock Martin, Sen. Shane Reeves
About the bill:

Texas

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Current status:
Next step:
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Utah / Bill introduced

Bill number: HB 564
Current status:
Fiscal note filed
Next step:
Awaiting committee referral

Lead sponsors: Rep. Doug Owens
About the bill: FULL TEXT

Vermont / In committee

Bill number: H.432
Current status: 
Pending before House Committee on Health Care
Next step:
Committee vote

Get involved: SEBCM Vermont

Primary sponsors: Rep. Mollie Burke
Lead advocate: David Hiler
About the bill: Requires insurers (including Medicaid) to offer coverage equivalent to Medicare. Requires insurers to cover prosthetics determined by healthcare provider to be patient-appropriate, including activity-specific prosthetics for physical activity. FULL TEXT (as introduced on 2/25/25)

Washington / Passed Senate, Pending House

Bill number: HB1669 / SB 5629
Current status:
*
Passed Senate 43-6 on 3/6/25
* Passed House 41-8 on 4/10/25
Next step:
Awaiting Governor’s signature

Primary sponsors: Rep. Monica Jurado Stonier,  Sen. Paul Harris
Lead advocates: Ashley Carvalho and Molly McCoy
About the bill: FULL TEXT

Tags: Insuranceinsurance reformSEBCMSo Every Body Can MoveSo Everybody Can Move
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