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Bill

HB 1669

Concerning coverage requirements for prosthetic limbs and custom orthotic braces.

2025-2026 Regular Session Introduced by Liz Berry and 10 co-sponsors

Washington requires health insurers to cover prosthetic limbs and custom orthotic braces as essential benefits, expanding access to mobility devices for disabled residents effective July 2025.

Effective date 7/27/2025.
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Bill Summary · HB 1669

Legislative bill overview

HB 1669 requires health insurance plans in Washington to cover prosthetic limbs and custom orthotic braces as essential health benefits. The bill specifies coverage requirements and limits on out-of-pocket costs for these devices, which previously had inconsistent or limited coverage across different insurance plans.

Why is this important

Prosthetic limbs and orthotic braces are medically necessary devices that significantly impact mobility, independence, and quality of life for individuals with limb loss or orthopedic conditions. Inconsistent insurance coverage created financial barriers that prevented many Washingtonians from accessing these devices, sometimes forcing them to choose between other essential healthcare and necessary mobility aids.

Potential points of contention

  • Cost implications for insurers and premiums: Mandatory coverage expands insurable services, which may increase insurance administrative costs and potentially affect premium rates for all policyholders, though advocates argue preventive mobility aids reduce long-term healthcare costs
  • Definition and scope disputes: Questions may arise about what qualifies as "custom" orthotic braces versus standard devices, and whether coverage limits adequately address rapidly evolving prosthetic technology
  • Prior authorization and denial practices: Implementation details around how insurers will handle prior authorization, replacement timelines, and justification for denials could significantly affect patient access despite the mandate

Compiled from official sources — confirm details with the bill’s official record.

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