Maryland Medical Assistance Program and Health Insurance - Coverage for Orthoses (So Every Body Can Move Act)
SB 406 requires Maryland's Medicaid program and certain private health insurers (including nonprofit health plans and health maintenance organizations) to cover orthoses - custom-designed devices treating neuromuscular or musculoskeletal conditions - starting January 1, 2026. The law mandates annual coverage for the devices themselves, repairs, and replacements when medically necessary due to physiological changes or device damage (not misuse), with no higher copays than other medical benefits. It prohibits separate lifetime dollar limits for orthosis coverage and aligns medical necessity standards with Medicare guidelines, covering activities like daily living, job tasks, and physical therapy. This applies to all Medicaid enrollees and individuals covered under qualifying health insurance policies in Maryland.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 20, 2025
Last action Jan 27, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
2
Key actions
0
Committee
1
Jan 20, 2025
Committee
First Reading Finance
upper
4 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Ben Kramer
DDemocratic
P
Dawn Gile
DDemocratic
P
Pam Beidle
DDemocratic
P
Shelly Hettleman
DDemocratic
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