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state_legiscan_drain · NY

Requires health insurance coverage for prosthetic and orthotic devices at a rate no less than the current quarter's Medicare durable medical equipment, prosthetics, orthotics and supplies fee schedule established by the Centers for Medicare and Medicaid services for prosthetic and orthotic devices and services.

May 15, 2026

Summary

If enacted, this bill would require health insurance policies in New York to cover prosthetic and orthotic devices at a rate no less than the current quarter's Medicare durable medical equipment, prosthetics, orthotics and supplies fee schedule. This would apply to all health insurers in the state, potentially increasing costs but ensuring adequate reimbursement for these devices.

Source: https://www.nysenate.gov/legislation/bills/2025/A11406

Common questions

What does "Requires health insurance coverage for prosthetic and orthotic devices at a rate no less than the current quarter's Medicare durable medical equipment, prosthetics, orthotics and supplies fee schedule established by the Centers for Medicare and Medicaid services for prosthetic and orthotic devices and services." cover?
If enacted, this bill would require health insurance policies in New York to cover prosthetic and orthotic devices at a rate no less than the current…
When was it published?
It was published on May 15, 2026.

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