Heath Insurance Prosthetic Amendments

HB 564 requires Utah health insurance plans to cover prosthetic and orthotic devices that enable physical and recreational activities, such as sports, beyond standard daily living coverage. It mandates plans to include all necessary services (e.g., fitting, training, repairs) for these devices, with a $30,000 limit every three years for advanced microprocessor components. The bill sets an 80% insurer coverage rate for prosthetics and ensures access to prosthetic care through managed care networks. This coverage applies to health plans renewed after July 1, 2026, directly affecting policyholders needing such devices and insurers offering health benefits in Utah.