Concerning coverage requirements for prosthetic limbs and custom orthotic braces.

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Substitute Bill — · 785 words Open full page ↗

H-1643.1

SUBSTITUTE HOUSE BILL 1669

State of Washington

69th Legislature

2025 Regular Session

By House Health Care & Wellness (originally sponsored by Representatives Stonier, Caldier, Davis, Berry, Low, Shavers, Nance, Doglio, Lekanoff, Reed, and Parshley)

READ FIRST TIME 02/21/25.

AN ACT Relating to coverage requirements for prosthetic limbs and custom orthotic braces; and adding a new section to chapter 48.43 RCW.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:

NEW SECTION. Sec. 1. A new section is added to chapter 48.43 RCW to read as follows:

(1) Except as provided in subsection (9) of this section, a health plan offered in the large group or small group market that is issued or renewed on or after January 1, 2026, must include coverage for one or more prostheses per limb and custom orthotic braces per limb when medically necessary for the enrollee to participate in any of the following:

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