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HB 951

Insurance; require health benefit policy coverage for medically necessary orthotic and prosthetic devices and their materials and components

2025-2026 Regular Session Introduced by David Clark and 5 co-sponsors

Georgia requires health insurers to cover medically necessary orthotic and prosthetic devices and components to improve patient access to mobility aids.

Senate Read and Referred
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Bill Summary · HB 951

Legislative bill overview

HB 951 mandates that health insurance policies in Georgia cover medically necessary orthotic and prosthetic devices, along with their materials and components. The bill ensures that insurers cannot deny coverage for these devices when deemed medically necessary by healthcare providers.

Why is this important

Orthotic and prosthetic devices are critical for mobility, function, and quality of life for individuals with limb loss, deformities, or functional impairments. Without this mandate, patients may face significant out-of-pocket costs or go without necessary devices, creating financial barriers to essential medical care.

Potential points of contention

  • Cost implications: Insurers may argue this expands their coverage obligations and increases premiums for policyholders, though proponents counter that preventive mobility devices reduce long-term healthcare costs
  • Definition of "medically necessary": Disagreement over which devices qualify could lead to disputes between insurers, providers, and patients about coverage standards
  • Market impact on device manufacturers: Broader insurance coverage could increase demand, affecting pricing dynamics and potentially benefiting orthotic/prosthetic device manufacturers

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

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