WeVote
Log In

Bill

Bill

SB 406

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

2025 Regular Session Introduced by Pam Beidle and 3 co-sponsors

Maryland bill mandates Medicaid and health insurers cover medically necessary orthoses to improve patient mobility and reduce long-term healthcare costs.

Hearing 2/12 at 1:00 p.m.
0
WeVote Research Nonpartisan
Bill Summary · SB 406

Legislative bill overview

SB 406, known as the "So Every Body Can Move Act," requires Maryland's Medical Assistance Program (Medicaid) and health insurers to cover orthoses—medical devices like braces, supports, and corrective footwear—as medically necessary treatments. The bill aims to remove coverage barriers that currently prevent low-income and insured Marylanders from accessing these devices when prescribed by healthcare providers.

Why is this important

Orthoses can significantly improve mobility, prevent injuries, and reduce long-term healthcare costs for people with musculoskeletal conditions, disabilities, and chronic illnesses. Currently, many insurance plans and Medicaid deny or limit coverage for these devices, forcing patients to choose between medical necessity and financial hardship, which can lead to worse health outcomes and increased emergency care utilization.

Potential points of contention

  • Insurance cost concerns: Insurers and employers may argue that mandatory orthosis coverage will increase premiums and healthcare spending, though proponents counter that prevention reduces overall costs
  • Definition and scope ambiguity: The bill's coverage standards for what qualifies as medically necessary orthoses may need clarification to prevent overly broad interpretations or disputes between providers and insurers
  • Prior authorization requirements: Debate may arise over whether insurers can still require prior authorization or referrals before covering orthoses, potentially delaying patient access

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

Sign in to ask a question.