HB 445 Maryland House of Delegates · 2026 Regular Session

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

HB 445, the "So Every Body Can Move Act," requires Maryland's Medicaid program (Medical Assistance Program) and private health insurers, nonprofit health plans, and HMOs to cover orthoses (supportive devices like braces) starting January 1, 2027. It mandates annual coverage for orthoses, including repairs, replacements, and components, without lifetime dollar limits or higher copays than other medical benefits. The bill clarifies that coverage must include all orthoses deemed medically necessary by a provider for daily living or essential job activities. It directly affects Maryland residents enrolled in Medicaid or private health plans covering hospital/medical benefits, ensuring access to these devices without restrictive lifetime limits or unnecessary barriers.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
House of Delegates Passage
Apr 2026
Senate Passage
Apr 2026
Signed into Law
May 2026
Introduced Jan 23, 2026 Signed May 26, 2026
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What changed between versions

First - Maryland Medical Assistance Program and Health Insurance - Coverage for Orthoses and Prostheses (So Every Body Can Move Act) Third - Maryland Medical Assistance Program and Health Insurance - Coverage for Orthoses and Prostheses (So Every Body Can Move Act) · 4 edits
MODERATE
The bill was amended to include additional sponsors and updated the legislative history to reflect its adoption. The core policy text regarding orthosis coverage remains substantively unchanged, retaining the same effective date of January 1, 2027, and the same requirements for insurers to cover devices without restrictive lifetime limits.
Scope change
The bill's scope and applicability to insurance providers and the Maryland Medical Assistance Program remain unchanged; the amendments are primarily procedural.
TECHNICAL

Added names of new co-sponsors (Alston, Bagnall, Guzzone, Hill, Hutchinson, S. Johnson, Kaufman, Kipke, Lopez, Reilly, Rosenberg, Ross, Taveras, White Holland, and Woorman) to the list of original sponsors.

Added status indicators showing the bill was reported favorably by the committee, adopted by the House, and read for the second time on February 18, 2026.

Updated the bill header to indicate it is now a 'Chapter' rather than a 'Bill' and adjusted line numbers to reflect the new text structure.

Reordered the explanatory text regarding how amendments are indicated (capitalization, brackets, underlining) to appear earlier in the document.

Floor votes · House of Delegates Feb 20, 2026

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
15
Key actions
9
Committee
6
May 26, 2026
Signed into law
Approved by the Governor - Chapter 628
executive
Apr 7, 2026
Lower · Passed
Returned Passed
lower
Apr 6, 2026
Upper · Passed
Third Reading Passed
upper
Mar 31, 2026
Upper · Passed
Favorable Adopted Second Reading Passed
upper
Mar 30, 2026
Upper · Passed
Favorable Report by Finance
upper
Feb 27, 2026
Committee
Referred Finance
upper
Feb 26, 2026
Lower · Passed
Third Reading Passed
lower
Feb 24, 2026
Lower · Passed
Favorable with Amendments {
lower
Feb 23, 2026
Lower · Passed
Favorable with Amendments Report by Health
lower
Feb 20, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (128-9-5)
house of delegates
Jan 23, 2026
Committee
First Reading Health
lower
18 primary · 0 co-sponsors

Sponsors