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HB 445

Maryland Medical Assistance Program and Health Insurance - Coverage for Orthoses and Prostheses (So Every Body Can Move Act)

2026 Regular Session Introduced by Gabriel Acevero and 17 co-sponsors

Maryland bill mandates Medicaid and health insurers cover orthoses and prostheses to improve mobility access for disabled residents.

Second Reading Passed with Amendments
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Bill Summary · HB 445

Legislative bill overview

HB 445 requires Maryland's Medical Assistance Program (Medicaid) and health insurance plans to cover orthoses and prostheses—medical devices that support or replace limbs and joints. The bill aims to expand access to these devices for eligible Marylanders by mandating coverage and removing potential barriers to obtaining them.

Why is this important

Orthoses (braces, supports) and prostheses (artificial limbs) are essential medical devices that enable mobility, independence, and quality of life for people with limb differences, injuries, or certain disabilities. Without insurance coverage, these devices can cost thousands of dollars, making them inaccessible to low-income individuals and families. This bill directly affects hundreds of thousands of Marylanders who rely on public or private insurance.

Potential points of contention

  • Cost implications: Health insurers and the state may argue about the fiscal impact of mandatory coverage, including whether premiums or Medicaid budgets will increase
  • Coverage scope and limits: Disagreement over which devices qualify, replacement frequency, and whether coverage includes all necessary fitting and adjustments
  • Prior authorization requirements: Debate over whether insurers can require advance approval before providing devices, which can delay access to critical mobility aids

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

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