Concerning coverage requirements for prosthetic limbs and custom orthotic braces.

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Engrossed Substitute Bill — · 733 words Open full page ↗

ENGROSSED SUBSTITUTE SENATE BILL 5629

State of Washington

69th Legislature

2025 Regular Session

By Senate Health & Long-Term Care (originally sponsored by Senators Harris, Chapman, Dozier, Frame, Hasegawa, Liias, Slatter, Trudeau, and Valdez)

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) Nongrandfathered group health plans, other than small group health plans and health plans offered to public employees and dependents under chapter 41.05 RCW, 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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PASSAGE PROBABILITY

22.5% Unlikely

Why this number

Stage base Floor Consideration — base rate 42%, measured from WA's completed sessions
Momentum +2 61/100 from the pace of recorded action
Time since last action -22 273 days quiet

A transparent scoring model over stage, momentum, recency, sponsorship and recorded votes — not a trained predictor. Treat it as a way to rank attention, not as a forecast.