California Becomes Fifth State to Ensure Coverage
By Morgan Sheets California and Massachusetts are poised to become
the fifth and sixth states to pass legislation requiring
comprehensive prosthetic coverage.
AB2012 is awaiting Governor Schwarzenegger's signature.
Sponsored by Rep. Bill Emmerson, the bill mandates that insurance
plans offering coverage for orthotic and prosthetic care must
provide full coverage--without caps and co-pays that restrict
access to prescribed devices.
Prior to passage, California law allowed health plans to simply
"offer" coverage, but this ambiguous language led to severe
reductions and limitations to coverage. AB2012 closes this loophole
and ensures patients receive the care they need. It also mandates
that O&P providers will have met a standard level of competency
to fit and furnish these devices and services by being nationally
certified.
We also are awaiting a signature from the governor of
Massachusetts on a coverage bill. After several years of
campaigning by groups like the Massachusetts Society for Orthotists
and Prosthetists, H5256 was passed by both the House and Senate
with strong support. The ACA is part of a state lobbying campaign
to urge the governor to support this crucial legislation.
We hope Massachusetts and California will join Colorado,
Maine, New Hampshire, and Rhode Island in providing parity.
A couple of states are still in play for the 2006 session. We
are looking for a vote on A1011 on the Assembly floor in New
Jersey.
A public hearing on HB2718, Pennsylvania's prosthetic
coverage bill will be held in the Health & Human Services
Committee on October 10.
We have a lot to celebrate and many exciting opportunities just
around the corner this fall.
Morgan Sheets is the national
campaign director for ACAs APPLL initiative. She can be reached at
APPLL@amputee-coalition.org 

Table Of Contents - October 2006
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