US SB3220 | 2009-2010 | 111th Congress

Status

Spectrum: Partisan Bill (Republican 1-0)
Status: Introduced on April 15 2010 - 25% progression, died in chamber
Action: 2010-04-15 - Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Text: Latest bill text (Introduced) [PDF]

Summary

Prosthetics and Custom Orthotics Parity Act of 2010 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) and the Public Health Service Act to require a group health plan that provides medical and surgical benefits and also provides benefits for prosthetics and custom orthotics to offer such prosthetics and custom orthotics in the same manner as applicable to medical and surgical benefits. Prohibits separate financial requirements or more restrictive treatment limitations. Requires a health plan that does not provide coverage for benefits outside of a network to ensure that such provider network is adequate to ensure enrollee access to prosthetic and custom orthotic devices and related services provided by appropriately credentialed practitioners and accredited suppliers. Limits coverage for required benefits for prosthetics and custom orthotics to the most appropriate device or component that adequately meets the medical requirements of the patient. Requires benefits to include repair and replacement due to normal wear and tear, irreparable damage, a change in the condition of the patient, or as otherwise determined appropriate by the treating physician. Prohibits any annual or lifetime dollar limitation on benefits for prosthetics and custom orthotics unless such limitation applies in the aggregate to all benefits. Directs the Comptroller General to study the effects of the implementation of this Act.

Tracking Information

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Title

Prosthetics and Custom Orthotics Parity Act of 2010

Sponsors


History

DateChamberAction
2010-04-15 Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Same As/Similar To

HB2575 (Related) 2009-10-22 - Referred to the Subcommittee on Health, Employment, Labor, and Pensions.
SB3223 (Same As) 2010-04-19 - Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Subjects


US Congress State Sources


Bill Comments

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