An act relating to health insurance coverage for prosthetic and orthotic devices

This bill would require Vermont health insurance plans to cover prosthetic and orthotic devices at least as comprehensively as Medicare does. It mandates coverage for medically necessary devices that meet specific criteria, including those needed for daily activities (like bathing, running, or strength training), with providers determining appropriateness. Insurers must also report claims data on these devices to the state for 2026-2028 and cannot deny coverage based on disability. The bill directly affects Vermont residents needing these devices and requires insurers to avoid annual/lifetime dollar limits or unfavorable cost-sharing for coverage.