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Amplitude

Prosthetic Insurance Reform for Amputees

May 12, 2025
0

SO EVERYBODY CAN MOVE BILL TRACKER 2025

NOVEMBER 2025 UPDATE:

Fall is generally a quiet season for state-level lawmakers, but a few states remain in session. Two of them advanced SEBCM legislation within the last few week: Ohio representatives from both sides of the aisle teamed up to introduce that state’s first SEBCM bill on November 4, and the Massachusetts bill (which has been largely idle since it was filed more than a year ago) finally started moving forward, advancing out of the Joint Finance Committee with unanimous, bipartisan approval.

A handful of other states have seen positive stirrings lately. In Alabama, lead advocate Ruth Guiness met with Rep. Marilyn Lands to build support for that state’s as-yet unfiled SEBCM bill. Two Florida legislators huddled with activists to strategize about getting a bill introduced in the Sunshine State. New Mexico held its second annual Mobility Days celebration, and Maryland unveiled plans for its first such event. 

Finally, the national SEBCM leadership issued a call for amputees to participate in a new documentary about the SEBCM movement. 

Arkansas / PASSED (2023)

Bill number: HB 1252 (AR legislative tracker)
Current status:
SIGNED INTO LAW: Passed full Senate 30-1 on April 5, and full House (as amended by Senate) 95-0 on April 6; signed by Gov. Sarah Huckabee Sanders on April 13

About the bill: Requires insurers to cover the most appropriate prosthetic device that adequately meets the patient’s medical and recreational needs, as determined by the physician and prosthetist. These provisions apply only to K-3 and K-4 amputees, as per a Senate amendment. 

Colorado / PASSED (2023)

Bill number: HB23-1136 (CO legislative tracker)
Current status:
SIGNED INTO LAW: Passed Senate 34-0 on 5/1/23; passed House 62-1 on 4/18/23; signed into law on 5/25/23

Lead advocates: Rocky Mountain Orthotic & Prosthetic Coalition (RMOPC)
About the bill: Requires insurers to cover recreational prosthetic devices for amputees of all ages if treating physician determines the device is medically necessary.

Connecticut / In committee

Bill number: SB 1015
Current status:
Pending before Joint Committee on Insurance and Real Estate
Next step:

Lead sponsors: Reps. Rebecca Martinez and Steven Winter
Lead advocates: Herb Kolodny, Linda Mitsou, Brenda Novak
About the bill: Requires all individual and group health insurance policies to provide health insurance coverage for activity-specific prosthetic and orthotic devices. FULL TEXT

Delaware

Bill number:
Current status:
Next step:
Shelf life:
Previous sessions:

Lead sponsors:
Lead advocates:
About the bill:

Florida

Bill number:
Current status:
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Lead advocate:
About the bill:

Georgia / PASSED (2025)

Bill number: SB 101
Current status:
Passed House 171-2 on 3/6/25 as HB 87: passed Senate 51-1 and House 167-2 on 4/4/25; signed into law on 5/13/25

Lead sponsor: Rep. David Clark
Lead advocates: Rachael Auyer and Cristalei Polk
Bill summary: FULL TEXT

Illinois / PASSED (2023)

Bill number: SB 2195 (IL legislative tracker)
Current status:
SIGNED INTO LAW: Passed Senate 57-0 on 3/29/23; passed House 111-0 on 5/11/23; signed into law 8/7/23

About the bill: Requires insurers to cover recreational prosthetic devices for all amputees aged 18 or younger if treating physician determines the device is medically necessary. Requires private insurers to offer prosthetic coverage to all amputees, regardless of age, equal to or better than Medicare prosthetic coverage. FULL TEXT

Indiana / In committee

Bill number: SB 270
Current status:
Referred to Senate Committee on Insurance and Financial Institutions
Next step:

Previous sessions:
* 2023: Passed House of Representatives (91-0); approved by Senate Health and Provider Services Committee (11-0); died in committee
* 2024: Died in committee

Lead sponsors: Sen. Andrea Hunley
About the bill: FULL TEXT

Maine / PASSED (2022)

Bill number:
Current status:
SIGNED INTO LAW: Signed into law on 5/7/22

About the bill: Requires insurers to cover recreational prosthetic devices for all amputees aged 18 or younger if treating physician determines the device is medically necessary. FULL TEXT

Maryland / PASSED (2024)

Bill number: SB 614 / HB 865 (MD legislative tracker)
Current status:
SIGNED INTO LAW: Passed Senate 45-0 on 3/18/24; passed House 129-1 on 4/5/24; signed into law 5/16/24

About the bill: Requires insurers to cover all devices deemed medically necessary by a physician for activities of daily living, essential job-related activities, and/or physical activities such as running, biking, swimming, strength training, or other activities necessary to maximize whole-body health. Also requires insurers to cover replacement devices and components, as deemed necessary by healthcare provider. FULL TEXT

Massachusetts / In committee

Bill number: H4549/S811
Current status:
Approved by Joint Committee on Financial services on 9/29/25
Next step:
Referred to Joint Committee on Health Care Financing
Previous sessions:
Approved by two House committees, 2023-24

Lead sponsors: Rep. Carlos Gonzalez, Sen. John Velis
Lead advocates: Maggie Baumer
About the bill: FULL TEXT

Michigan

Bill number:
Current status:
Next step:

Lead sponsors:
Lead advocates:
About the bill:

Minnesota / PASSED (2024)

Bill number: HF 3339 / SF 3351 (MN House tracker / MN Senate tracker)
Current status:
SIGNED INTO LAW: Passed both chambers on 5/20/24, as part of omnibus healthcare package

About the bill: Requires health plans to cover prostheses determined by patient’s provider to be most appropriate for meeting medical needs and for performing physical activities, including but not limited to running, biking, and swimming. Also covers prostheses for showering and bathing. Insurer may require prior authorization. Includes Fair Insurance provisions. FULL TEXT

Nebraska / In committee

Bill number: LB410
Current status:
Pending before Banking, Commerce + Insurance Committee; hearing held on March 10
Next step:

Lead sponsors: Sen. Machaela Cavanaugh
About the bill: FULL TEXT

New Hampshire / PASSED (2024) / New Bill Introduced (2025)

Bill number: SB132-FN
Current status:
Approved by Senate Finance Committee 6-0 on 3/11/25; tabled by Senate 3/20/25
Next steps: Senate floor vote, no date scheduled
Previous sessions: 2024, SB177-FN signed into law

Lead sponsors: Sen. William Gannon
About the bill: Expands 2024 law, requiring insurers to cover activity-specific prosthetics for minors, to include adults FULL TEXT

New Jersey / PASSED (2025)

Bill number: S-1439 / A-3856
Current status: 
Approved 40-0 by Senate, 75-0 by House
Next step: Awaiting Governor’s signature

Previous sessions: 2022-23: Passed Senate 35-0 but failed to win Assembly approval before end of session

Lead sponsors: Sen. Troy Singleton, Sen. Anthony Bucco
Lead advocates: Steve Slawinski, CPO, Kelly Worrell, and Jen Marmino
About the bill: Requires coverage for all devices that are determined by the patient’s physician to be necessary for physical and recreational activities, including running, bicycling, swimming, climbing, skiing, snowboarding, and team and individual sports. Reimbursement is tied to federal Medicare reimbursement rates.

New Mexico / PASSED (2023)

Bill number: HB-131 (NM legislative tracker)
Current status:
SIGNED INTO LAW: Passed House 68-0 on 2/14/23; passed Senate 41-0 on 3/14/23; signed into law on 4/6/23 

About the bill: Requires insurers to cover recreational prosthetic devices for all amputees, regardless of age, if treating physician determines the device is medically necessary. Requires private insurers to offer prosthetic coverage equal to or better than Medicare prosthetic coverage. FULL TEXT

North Carolina / Passed House, Pending Senate

Bill number: HB906
Current status:
Passed House 110-0 on 5/6/25
Next step:
Assigned to Senate Rules Committee

Lead sponsor: Rep. Robert Rieves
Lead advocates:
About the bill: SUMMARY

Ohio / In committee

Bill number: HB 564
Current status:
Referred to Insurance Committee
Next step:

Lead sponsors: Rep. Dontavius Jarrells, Rep. Jean Schmidt
Lead advocates: Autumn Young, Emmy Brown, Kaleigh Neely
About the bill: FULL TEXT

Oregon / PASSED

Bill number: SB 699
Current status:
Passed full Senate 29-0 on April 17; passed full House 49-0 on May 2
Next step:
Awaiting governor’s signature

SUPPORT THE BILL: https://p2a.co/WhlSb8K

Primary sponsor: Sen. Lisa Reynolds
Lead advocates: SaraMae Hollandsworth and Dee Palagi
Bill summary: Requires insurers to cover prosthetic and orthotic devices (including activity-specific devices) deemed medically necessary by healthcare provider. Takes effect immediately upon passage. FULL TEXT

Pennsylvania

Bill number:
Current status:
Next step:
Previous sessions:

Lead sponsors:
Lead advocates:
About the bill:

Tennessee / In committee

Bill number: HB406 / SB422
Current status:
Referred to House Insurance Committee, Senate Commerce + Labor Committee
Next step:
Senate committee hearing scheduled 3/18

Lead sponsors: Rep. Brock Martin, Sen. Shane Reeves
About the bill:

Texas

Bill number:
Current status:
Next step:
Previous sessions:

Lead sponsors:
Lead advocates:
About the bill:

Utah / Bill introduced

Bill number: HB 564
Current status:
Fiscal note filed
Next step:
Awaiting committee referral

Lead sponsors: Rep. Doug Owens
About the bill: FULL TEXT

Vermont / In committee

Bill number: H.432
Current status: 
Pending before House Committee on Health Care
Next step:
Committee vote

Get involved: SEBCM Vermont

Primary sponsors: Rep. Mollie Burke
Lead advocate: David Hiler
About the bill: Requires insurers (including Medicaid) to offer coverage equivalent to Medicare. Requires insurers to cover prosthetics determined by healthcare provider to be patient-appropriate, including activity-specific prosthetics for physical activity. FULL TEXT (as introduced on 2/25/25)

Washington / PASSED (2025)

Bill number: HB1669 / SB 5629
Current status:
Signed into law

Primary sponsors: Rep. Monica Jurado Stonier,  Sen. Paul Harris
Lead advocates: Ashley Carvalho and Molly McCoy
About the bill: FULL TEXT

Tags: Insuranceinsurance reformSEBCMSo Every Body Can MoveSo Everybody Can Move
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