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

This Maryland law requires medical assistance programs and private health insurers to cover orthoses and prostheses starting in 2025. It defines orthoses as custom or prefabricated devices used to treat neuromuscular or musculoskeletal conditions and mandates that these devices be considered essential health benefits. The bill also sets specific rules for replacing devices, ensuring they are not subject to higher copayments or separate annual limits, and prohibits denial of coverage based on a patient's disability status. Additionally, it establishes that coverage decisions must align with federal Medicare standards and allows for replacements if repairs would cost more than 60% of a new device.