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 custom devices known as orthoses, which are used to treat neuromuscular or musculoskeletal conditions. Starting in 2025, these plans must provide coverage for both the initial devices and their replacements, ensuring that replacement costs are not unfairly restricted if repairs would be too expensive or if the patient's condition changes. The legislation also mandates that insurers treat these devices as essential health benefits without imposing separate deductibles, higher copayments, or lifetime spending caps. Additionally, the bill prohibits discrimination in coverage decisions based on disability and sets clear standards for when a doctor can determine a device is medically necessary for daily living or physical activities.