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Bill

SR 142

REQUESTING HEALTH INSURERS AND MANAGED CARE PROVIDERS THAT PROVIDE HEALTH INSURANCE IN THE STATE TO PROVIDE INSURANCE COVERAGE FOR PROSTHETIC AND ORTHOTIC DEVICES.

2025 Regular Session

Hawaii requests health insurers voluntarily expand coverage for prosthetic and orthotic devices to improve patient access to mobility-restoring medical equipment.

The committee on HHS deferred the measure.
#healthinsurancecoverage #orthoticdevices #prostheticdevices
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Bill Summary · SR 142

Legislative bill overview

SR 142 requests that health insurers and managed care organizations operating in Hawaii provide coverage for prosthetic and orthotic devices. This is a resolution—a non-binding request rather than mandatory legislation—asking the insurance industry to expand their coverage policies for these medical devices.

Why is this important

Prosthetic and orthotic devices (artificial limbs, braces, orthotics) are essential medical equipment that restore mobility and function for individuals with limb loss, injuries, or musculoskeletal conditions. Coverage gaps leave patients with significant out-of-pocket expenses that may prevent them from accessing devices necessary for employment, independence, and quality of life.

Potential points of contention

  • Non-binding nature: As a resolution, this request carries no legal force and relies entirely on industry voluntary compliance, making enforcement and accountability unclear
  • Cost burden on insurers: Expanded coverage for prosthetics and orthotics increases insurer expenses, potentially raising premiums for all policyholders
  • Coverage scope ambiguity: The resolution doesn't specify which devices qualify, replacement frequency, or quality standards, leaving details to insurer interpretation and potentially creating inconsistent coverage across providers

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

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