WAS LEG Prosthetic Limbs, Orthotics

Published on: May 21, 2025

On Apr. 21, WAS LEG enacted bill re prosthetic limbs/orthotic braces.

  • WAS LEG enacted bill HB 1669, SB 5629, re prosthetic limbs/custom orthotic braces.
  • Amendment adds new section to WAS INS 48.43 insurance chapter that expands coverage requirements for prosthetic limbs and custom orthotic braces.
  • Document dated Apr. 21, 2025, was received on May 16, 2025, due to a fixed feed.
  • Bill Provisions
  • The bill sets out that a small or large group health plan issued or is renewed on or after Jan. 1, 2026, must include coverage for one or more prostheses per limb.
  • In addition, coverage to include custom orthotic braces per limb when medically necessary to participate in daily or essential job-related activities as set out in the bill.
  • Legislative History
  • On Jan. 28, 2025, bill introduced in House; on Mar. 12, 2025, bill was passed in House.
  • On Mar. 14, 2025, bill introduced in Senate; on Apr. 10, 2025, bill was passed Senate.
  • On Apr. 16, 2025, bill sent to governor; on Apr. 21, 2025, bill signed, became Ch. 96.
  • Effectiveness
  • Act becomes effective Jul. 27, 2025.
Regulators
WAS LEG
Entity Types
Ins
Reference
Ch. 96, Bill HB1669, SB5629, 4/21/2025; Citation: WAS INS 48.43;
Functions
Compliance; HR; Legal; Product Administration; Product Design; Underwriting
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
Apr 21, 2025
Effective Date
Jul 27, 2025
Rule ID
255078
Linked to
N/A
Reg. Last Update
Apr 21, 2025
Report Section
US Insurance