SB 406 Maryland Senate · 2025 Regular Session

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
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Jan 20, 2025
Committee
First Reading Finance
upper
4 primary · 0 co-sponsors

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