State Issues

ALERT: Requested Elimination of CMNs for Medicaid - February 24, 2026

AOPA recently sent a letter to the Delaware Medicaid, requesting the elimination of the required use of Certificates of Medical Necessity forms for O&P claims. This effort, initiated by Hanger in Delaware, questions the continued need to complete CMNs for Delaware Medicaid when they have never been required by Medicare for O&P claims and CMS has recently discontinued them for all services. AOPA emphasized the need for consistency amongst federally funded programs and requested that Delaware discontinue their use for Medicaid O&P claims.

ALERT: Missouri’s So Every BODY Can Move Bill - February 24, 2026

Missouri’s So Every BODY Can Move bill, HB 2034, was introduced by Representative Carolyn Caton and referred to the House Health and Mental Health Committee in January. The Senate version of the bill, SB 1571, was introduced by Senator Patty Lewis and has been referred to the Senate Families, Seniors, and Health Committee.

HB 2034 is scheduled for a hearing in the House Committee on Health and Mental Health on Thursday, February 26. Email the legislators on this committee to encourage them to support this bill.

ALERT: Arizona’s So Every BODY Can Move Bill Introduced - February 17, 2026

Arizona’s So Every BODY Can Move bill, HB 2333, has been introduced by Representative Ralph Heap. The bill would require certain insurance plans to cover activity-specific orthotic and prosthetic devices for people of all ages. Arizona residents, please contact Arizona legislators on the House Health & Human Services and Appropriations committees.

You will know you have sent the emails when you see a thank you message in the pink box on your screen.

ALERT: Oklahoma’s So Every BODY Can Move Bill - February 17, 2026

Oklahoma's So Every BODY Can Move bill, OK SB 1673, was introduced earlier this month by Senator Julie McIntosh. If passed, it would require state-regulated commercial plans and state employee health plans to cover activity-specific orthotic and prosthetic devices for people of all ages. Currently, the bill is in the Oklahoma Senate Business and Insurance Committee. Oklahomans, please contact Oklahoma Senators on this committee.

You will know you have sent the emails when you see a thank you message in the pink box on your screen.

ALERT: Georgia’s So Every BODY Can Move Bill Introduced - February 2, 2026

Georgia’s So Every BODY Can Move bill, HB 951, was introduced and referred to the House Committee on Health. HB 951 seeks to expand on the impact of the recently passed SB 101 by requiring more insurance plans to require coverage for medically necessary prosthetic and orthotic devices.  The bill had a hearing in the committee on Wednesday, January 28^th.

If you are a Georgia resident, please email members of the House Health Committee in support of the bill.

Note that you will know you have sent the emails when you see a Thank You message on your screen.

ALERT: Governor Hochul Vetoed A2520/S1616 - February 2, 2026

Because of unbudgeted cost constraints, Governor Hochul vetoed A2520/S1616 after it passed with unanimous bipartisan support in both the Senate and Assembly.This bill would protect access to medically necessary prosthetics, orthotics, and DMEPOS for those with Medicaid MCO coverage by requiring Medicaid MCOs to reimburse DMEPOS items and services at no less than 100% of the New York Medicaid fee schedule.

If you live in New York, please take a minute to please take a minute to send a message directly to Governor Hochul as well as your Assemblymember and Senator. The message reinforces the importance of DMEPOS care to New Yorkers and asks to include A2520/S1616 in next fiscal year’s budget process thereby restoring this critical legislation which benefits the function and well-being of New Yorkers with DMEPOS needs.

Please note that you will know the emails have been sent when you see a Thank You message on your screen.

ALERT: Massachusetts Bill S. 1508 - December 23, 2025

Earlier this year,Massachusetts bill S. 1508, titled “An Act establishing an amputation prevention task force,” was introduced by Senator DiDomenico and referred to the Joint Committee on Public Health. On November 13, it was reported favorably by the committee and referred to the Senate Committee on Ways and Means. AOPA will continue to track this legislation.  

ALERT: Update on HB 426 - December 18, 2025

TX HB 426, a bill signed into law in June that would require Medicaid to provide coverage for cranial remolding orthoses (CROs) for plagiocephaly, was supposed to take effect on September 1^st. Despite this, Texas Medicaid’s September 2025 Manual did not reflect the changes based on this bill. Entities including AOPA and The Limb Loss and Limb Difference Community Coalition of Texas have submitted letters to the Texas Health and Human Services Commission sharing their concern and request for clarification around the implementation of HB 426.

ALERT: Massachusetts’ So Every BODY Can Move Update - December 16, 2025

H. 4549 and S. 811, Massachusetts’ So Every BODY Can Move bills, have both been recommended ought to pass by the Joint Committee on Health Care Financing. H. 4549 is now referred to the House Committee on Ways and Means and S. 811 is now referred to the Senate Committee on Ways and Means. 

ALERT: Mid-Atlantic Mobility Day - December 16, 2025

So Every BODY Can Move Maryland hosted multiple events, including educational opportunities, December 4^th through 6^th, culminating in the Mid-Atlantic Mobility Day on December 6^th. The event, organized by Sheryl Sachs, MSPO, CPO, drew participants from multiple states across the region. Individuals had the option to try out different sports and activities with activity-specific prostheses. Speakers at the event included primary bill sponsor, Delegate Ashanti Martinez, parasports champion and non-profit founder, Logan Aldridge, and Assistant Secretary of Programs at the Maryland Department of Disabilities, Kim McKay.

ALERT: Indiana’s 2026 So Every BODY Can Move Bill - December 16, 2025

Indiana’s So Every BODY Can Move bill, SB 0072, has been introduced by Senator Andrea Hudley and referred to the Senate Insurance and Financial Institutions in advance of the 2026 legislative session. The text of the bill can be viewed here.

ALERT: Ohio So Every BODY Can Move Bill Introduced - November 20, 2025

On November 4^th,  Ohio’s So Every BODY Can Move bill, OH HB 564, was introduced with bipartisan support. The bill has been referred to the Ohio House Insurance Committee. Ohio residents, may write to Ohio State Representatives on this committee in support of So Every BODY Can Move.

ALERT: New York State Office of the Medicaid Inspector General(OMIG) Sought Feedback for Their Audit Protocols for Durable Medical Equipment (DME). - October 23, 2025

The New York State Office of the Medicaid Inspector General(OMIG) reached out to AOPA in October 2024 to provide feedback for their Audit Protocols for Durable Medical Equipment (DME). AOPA commented and consulted with members in the state to provide feedback on the audit protocols to the OMIG.

ALERT: Medicaid O&P Rate Reviews This Year - October 23, 2025

Colorado’s Medicaid Provider Rate Review Advisory Committee (MPRRAC) is reviewing Medicaid rates for Prosthetics, Orthotics, and Disposable Supplies (POS), among other categories, this year. The MPRRAC is holding quarterly public meetings where interested parties may provide comment. Multiple AOPA member provided comments at Q1’s public meeting and more AOPA members have planned to comment at the Q2 public meeting this Friday, 18 Jul 2025 between 9AM-2PM EST. More information, including the Zoom links, can be found on their website: https://hcpf.colorado.gov/rate-review-public-meetings

ALERT: HCR 91 Adopted - October 23, 2025

At the end of the month, the resolution HCR 91 was adopted in its final form after consideration in the House and Senate. Although a resolution does not become a law, it shows that the Hawaii legislature is potentially supportive of future So Every BODY Can Move legislation.

To view the text of the resolution, click here.

ALERT: So Every BODY Can Move Legislation Introduced (3/24/2025)

Earlier this month, HI HR 87/HCR 91 and HI SR 142/SCR 173 were introduced. HI HR 87/HCR 91 was reported favorably by the Health Committee, with unanimous recommendation that the measures pass without amendment! HI SR 142/SCR 173 is scheduled to be heard by the Senate Committee on Health and Human Services on March 24 at 1:05 PM. HI HR 87/HCR 91 was also initially referred to the House Committee on Consumer Protection & Commerce, and HI SR 142/SCR 173 was also initially referred to the Senate Committee of Commerce and Consumer Protection. These bills seek to have health insurers and managed care providers that provide health insurance to provide coverage for prosthetic and orthotic devices. This would be foundational for future So Every BODY Can Move legislation.

ALERT: Priority Health Michigan Created a New Policy for Therapeutic Shoes for Diabetes - October 23, 2025

Priority Health Michigan, which includes commercial, Managed Medicaid, and Medicare Advantage plans in Michigan, has created a new policy around Therapeutic Shoes for Diabetes. The policy provides documentation requirements and reimbursement specifics. Access the policy here.

ALERT: Update to Medicaid O&P Rate Reviews - October 23, 2025

Several AOPA members have provided comments in this year’s Colorado Medicaid Provider Rate Review Advisory Committee’s (MPRRAC) quarterly public meetings for DMEPOS rate reviews. With their testimony and other information, the MPRRAC is recommending the following for Colorado Medicaid:

• “Prosthetics: Bring any codes below 80% of the Medicare benchmark up to 80%. All other codes remain as is.”
• “Orthotics: Bring any codes below 80% of the Medicare benchmark up to 80%. Leave any codes above 80% where they are. For codes without benchmark rates, increase 3% to account for inflation”.

Any changes due to the MPRRAC’s recommendations to the Colorado Medicaid fee schedule would be seen in July 2026 after a legislative process. Thank you to all those who provided their expertise and advocacy!

ALERT: HP 741 has been enacted into law! - October 22, 2025

The bill has been amended from its earlier version last year to include the following passage:

“Covered benefits must be provided for:

• A. A prosthetic device determined by the enrollee’s provider, in accordance with section 4301‑A, subsection 10‑A, to be the most appropriate model that adequately meets the medical needs of the enrollee; and
• B. With respect to an enrollee under 18 years of age, in addition to coverage of a prosthetic device required by paragraph A, a prosthetic device determined by the enrollee’s provider, in accordance with section 4301‑A, subsection 10‑A, to be the most appropriate model that meets the medical needs of the enrollee for recreational purposes, as applicable, to maximize the enrollee’s ability to ambulate, run, bike and swim and to maximize upper limb function.”

For the full text of the enacted version of HP 741, click here.

UPDATE (5/2/2022): HP 741 has passed through both the state Senate and House of Representatives, and is now awaiting the Governor’s signature.

UPDATE (4/2021): AOPA sat in on the Committee On Health Coverage, Insurance and Financial Services(HCIFS) Public Hearing and Work Session for on H.P. 741 in support of its members in Maine. Shelley Coull, PT, and Jordan Simpson, a patient advocate, both presented during the session.

H.P. 741 amends the existing law to include the following language: “Covered benefits must be provided for a prosthetic device determined by the enrollee’s provider, in accordance with section 4301‐A, subsection 10‐A, to be the most appropriate model that adequately meets the medical and recreational needs of the enrollee.”

The bill is slated to be referred for mandate review, but the committee suggested that stakeholders have an opportunity to provide input and answer questions regarding the language, prior to that referral. In Maine, any changes to existing insurance mandates or introduction of new mandates are subject to review for fiscal impact by the Maine Bureau of Insurance. The committee said that process would take up to 8 weeks, so in addition to referral for review, there will also be a motion to carry this bill over, so that it has time to make it through all the necessary reviews and committee votes prior to final chamber votes.

AOPA has connected with the sponsor, Representative Colleen Madigan, and will continue to work with her office in support of Maine members and the patients they serve. For additional information, please email Co-OP@aopanet.org

ALERT: Policy Win! MN Medicaid Lower Limb Policy Changes - October 22, 2025

As a result of advocacy efforts from a group of providers including Teri Kuffel, Charles Kuffel, and Kimberly Hanson, MN Medicaid’s Lower Limb Policy has been updated to include the following changes:

• K-Levels are now aligned with Medicare
• Microprocessor ankle (L5973) is now covered for members whose functional level is 3 and above (was previously covered only at level 4)
• Microprocessor control knee (L5856) is now covered for members whose functional level is 3 and above (was previously covered only at level 4)
• Multiaxial ankle with swing phase active dorsiflexion feature (L5968) has been added to the policy for functional level 3 and above (MN Medicaid covers this device but previously it was not listed in the policy)
• Vacuum suspension system (L5781 and L5782) has been added to the policy for functional level 2 and above (MN Medicaid covers this device but previously it was not listed in the policy)

To read the full updated policy, please visit the MN Medicaid website.

ALERT: Licensure Examination Requirement Clarifications - October 22, 2025

The WA Department of Health is adopting amendments to clarify language on examination requirements for licensure. The Department identified several needed clarifications regarding the date of when applicants complete their education and take the national certification examination. Prospective applicants must complete the WA jurisprudence exam; written multiple choice and simulation exams administered by ABC; and, if the applicant completes their requirements on or after 1/1/2020, the prosthetic clinical patient management exam. These requirements go into effect 9/17/2022. To read the text of the amendments, please click here.

ALERT: Licensure Examination Requirement Clarifications - October 22, 2025

The WA Department of Health is adopting amendments to clarify language on examination requirements for licensure. The Department identified several needed clarifications regarding the date of when applicants complete their education and take the national certification examination. Prospective applicants must complete the WA jurisprudence exam; written multiple choice and simulation exams administered by ABC; and, if the applicant completes their requirements on or after 1/1/2020, the prosthetic clinical patient management exam. These requirements go into effect 9/17/2022. To read the text of the amendments, please click here.

ALERT: HB 1252 has been signed into law by Gov. Sanders! The legislation will take effect on July 1, 2023 - October 22, 2025

UPDATE (4/7/2023): HB 1252’s amendments have been agreed to by the House. The bill now awaits the Governor’s signature.

UPDATE (4/6/2023): HB 1252 has successfully passed its Senate floor vote. The bill has been amended, so it will now be re-referred to the House to ensure that both chambers agree on the updated language. The amendments to the bill:

• Define activity-specific devices as running blade-type devices
• State that medical necessity is determined by the referring physician
• Limit activity-specific devices to enrollees with K3 or K4 functional levels

To read the bill amendments, please click here.

UPDATE (4/3/2023): HB 1252 has successfully passed out of the Senate Insurance and Commerce Committee.

UPDATE (3/28/2023): HB 1252 has successfully passed its House floor vote, and will now move on to the Senate.

UPDATE (3/15/2023): HB 1252 has successfully passed out of the House Insurance and Commerce Committee.

UPDATE (2/13/2023): Francois Van Der Watt, of Van Der Watt P&O, is looking for members of the AR O&P community to provide hearing testimony for HB 1252. To get involved, please reach out to Francois at fvanderwatt@outlook.com

ALERT: HB 1136 has officially been signed into law! The bill will take effect on plans issued or renewed on or after January 1, 2025. - October 22, 2025

UPDATE (5/1/2023): HB 1136 has passed out of the Senate floor, and now moves to Governor Jared Polis’ desk!

UPDATE (4/28/2023): HB 1136 has unanimously passed out of the Senate Appropriations Committee, and will now move to the Senate floor.

UPDATE (4/27/2023): HB 1136 has successfully passed out the Senate Health Committee with a 7-0 vote in favor! The bill will next be heard in Senate Appropriations.

UPDATE (4/18/2023): HB 1136 has successfully passed out of the House with a 61-1-2 vote! The bill now moves to the Senate.

UPDATE (4/14/2023): HB 1136 has successfully passed out of the House Appropriations Committee with a unanimous 11-0 vote in support! The bill now moves to the House floor.

UPDATE (3/21/2023): HB 1136 has successfully passed out of the House Health and Insurance Committee with a unanimous 11-0 vote in favor! The bill now moves to the House Appropriations Committee. The bill has now been amended to cover enrollees of all ages.

UPDATE (3/1/2023): On March 1st, the RMOPC organized over 30 O&P advocates to visit the CO Capitol as part of Disability Rights Advocacy Day, where they met with legislators and showed support for HB 1136 along with other groups promoting disability-related legislation.

ALERT: Activity-Specific Device Coverage Legislation Introduced (2/1/2023):

The Rocky Mountain Orthotic and Prosthetic Coalition (RMOPC) has worked with Rep. David Ortiz to introduce, HB 1136, which requires commercial private and group health insurance plans in the state to cover activity-specific prostheses for enrollees under 26 years of age.

For the full bill text, please click here.

ALERT: Reimbursement Legislation Introduced - October 22, 2025

LB 852 requires that suppliers not participating in the Medicare program and that do not accept Medicare assignment shall not charge Nebraska Medicare beneficiaries an amount greater than 15% of the Medicare-approved reimbursement rate.

For more information on the bill, click here.

ALERT: Companion SEBCM Legislation Introduced - October 22, 2025

HB 1003 is identical to SB 828. To learn more about the bill, please click here.

ALERT: So Every BODY Can Move Legislation Introduced (12/13/2023):

SB 828 ensures that state commercial plans and FL Medicaid cover orthoses and prostheses determined by the provider to be “medically necessary for the insured to perform activities of daily living, essential job-related activities, and physical recreational activities, such as running, biking, swimming, strength training, and other activities that maximize the insured’s full body health and lower and upper limb function”; implements Reasonable Useful Lifetime (RUL) exemptions; and implements anti-discrimination provisions.

For more information on the bill, please click here.

ALERT: SEBCM legislation has been signed into law by Governor JB Pritzker! - October 22, 2025

The law will take effect January 1, 2025.

UPDATE (5/11/2023): SB 2195 has successfully passed its House floor vote, and will now move to Governor Pritzker’s desk for his signature.

UPDATE (4/27/2023): SB 2195 passed out of the House Insurance Committee with a 12-0 vote in favor. The bill now heads to the House floor for a vote.

ALERT: New Mexico’s Office of the Superintendent of Insurance has posted a bulletin requesting that state commercial plans standardize their language to align with the provisions of HB 131. Coverage for one additional activity-specific device has been approved for NM commercial payors, and Medicaid is currently working on approval for multiple devices. - October 22, 2025

UPDATE (4/7/2023): HB 131 has been signed into law by the Governor! The legislation will take effect starting in 2024.

UPDATE (3/14/2023): HB 131 has passed the Senate floor vote with a unanimous 41-0 vote! The bill now goes to Governor Michelle Lujan Grisham for her signature.

UPDATE (3/13/2023): HB 131 has passed the Senate Judiciary Committee with unanimous approval! The bill now moves to the Senate floor for a vote.

To view the TBT hearing testimony in full, please check out this link (HB 131 starts at 4:51pm): https://sg001-harmony.sliq.net/00293/Harmony/en/PowerBrowser/PowerBrowserV2/20230313/-1/72308

UPDATE (3/7/2023): HB 131 has passed the Senate Tax, Business, and Transportation Committee with unanimous approval!

Two insurance providers, Presbyterian and BCBS, testified in support, along with representatives from AOPA and the Amputee Coalition, Kyle Stepp, Laura and Callaway Lewis, Jason Burnett, Bee Mathis, Grace Walder, and others. The bill now moves to the Senate Judiciary Committee.

To view the TBT hearing testimony in full, please check out this link (HB 131 starts at 5:24pm): https://sg001-harmony.sliq.net/00293/Harmony/en/PowerBrowser/PowerBrowserV2/20230307/-1/72214

UPDATE (2/14/2023): HB 131 has passed the New Mexico House of Representatives with a unanimous 68-0 vote of approval! Providing Rep. Thomson with expert testimony were patient advocate Kyle Stepp and Viara Ianakieva of the NM Office of Superintendent of Insurance. The bill now goes to the Senate.

HB 131 has undergone a number of amendments since its introduction. The bill now includes language aligning Reasonable Useful Lifetime (RUL) restrictions to those in the Medicare program, as well as language that prohibits insurers from discriminating or conducting unfair trade practices upon the basis of disability, including limb loss and limb difference. In addition, the bill’s reporting requirement has been removed, as that data will already be collected and made accessible by the state of New Mexico as required by law. For the latest bill text, please click here.

UPDATE (2/1/2023): HB 131 has passed the Health and Human Services Committee with unanimous approval!

Close to 20 speakers testified in support of the bill, including local advocates, AOPA, and the Amputee Coalition, along with the Carrie Tingley Hospital Foundation, American Physical Therapy Association, the American Diabetes Association, Disability Rights of New Mexico, The Arc of New Mexico, and others. The bill now heads to the House Floor for a vote.

To view the HHS hearing testimony in full, please check out this link (HB 131 starts at 9:21am): https://sg001-harmony.sliq.net/00293/Harmony/en/PowerBrowser/PowerBrowserV2/20230203/-1/70709

UPDATE (1/26/2023): HB 131 has passed the Consumer and Public Affairs Committee with unanimous approval!

Witnesses from the So New Mexicans Can Move team that provided in-person, virtual, and/or written testimony included Kyle Stepp, Laura and Callaway Lewis, Suzanne Serpas, Joe Sorroche, Jason Burnett, Danielle Cummings, Helen Pino, Grace Walder, Judy White, Dr. Selina Silva, Julie Jordan, Bee Mathis, Nicole Ver Kuilen (AOPA), and Ashlie White (Amputee Coalition).

The bill will now move to the Health and Human Services Committee. To view the CPAC hearing testimony for HB 131 in full, please click check out this link (HB 131 starts at 2:55pm): https://sg001-harmony.sliq.net/00293/Harmony/en/PowerBrowser/PowerBrowserV2/20230126/-1/70643

ALERT! Insurance Fairness and Activity-Specific Device Coverage Legislation Introduced (1/19/2022):

With the help of patient advocates Kyle Stepp and Callaway Lewis, HB 131, which implements Insurance Fairness and mandates coverage of activity-specific devices for all ages in private group and individual plans in the state, has been introduced in the NM House of Representatives by Reps. Liz Thomson and Kathleen Cates. HB 131 is the product of So New Mexicans Can Move, an offshoot campaign of the national So Kids Can Move policy initiative. AOPA and the Amputee Coalition are currently on the ground (1/23-1/27) providing support to in-state advocates as they generate support for the bill while it moves through committees.

For the full bill text, please click here.

ALERT: Coverage Legislation Introduced - October 22, 2025

HF 384 requires a health carrier that offers individual, group, or small group contracts, policies, or plans in the state that provide for third-party payment or prepayment of health or medical expenses, and that provide coverage for mastectomies, to provide coverage for physical complications caused by a mastectomy, including:

• lymphedema;
• prosthetic devices;
• a custom fabricated breast prothesis for each breast on which a mastectomy has been performed;
• one additional breast prothesis for each breast affected by a mastectomy;
• all stages of reconstruction of the breast on which the mastectomy has been performed; and
• surgery and reconstruction of the breast on which the mastectomy was not performed to produce symmetry with the other breast.

For more information on the bill, click here.

ALERT: Amputation Prevention Legislation Introduced - October 22, 2025

SB 357 would require that state-regulated commercial and public plans provide coverage for limb salvage treatment, and requires limb salvage protocols to be established by the Georgia Diabetes Control Grant Program, the State Board of Podiatry Examiners, and by hospitals and ambulatory surgical centers in the state.

For more information on the bill, click here.

ALERT:  Insurance Fairness Legislation Introduced - October 22, 2025

LB 1274 requires that state-regulated commercial group and individual insurance plans cover and reimburse O&P care at the same level as Medicare. The bill was introduced with the assistance of Vincent Lau as part of the So Every BODY Can Move Initiative.

For more information on the bill, please click here.

ALERT: So Every BODY Can Move Legislation Introduced - October 22, 2025

Introduced with the helps of the Tennessee Society of Orthotists and Prosthetists (TSOP), companion bills HB 1992 and SB 2010 include Insurance Fairness and coverage for activity-specific O&P in state commercial plans, nondiscrimination standards, and unfair trade practice prohibitions.

To learn more about the bills, click here.

ALERT: Medicaid Reimbursement Update - October 22, 2025

Through the advocacy of the Ohio Orthotic and Prosthetic Association, Ohio Medicaid increased rates for 48 codes and priced 18 new ones, effective 1/1/24. Increased codes went from 12-54% to consistently 69% of 2024 Medicare (71% of 2023 Medicare), while newly-priced are at 18% to 140% of 2024 Medicare. For more information, please see the attached spreadsheet below.

ALERT: DMEPOS Sales Tax Legislation - October 22, 2025

This legislation was enacted on May 16, 2024

HB 131 provides that health care providers in clinical settings that maintain a supply of durable medical equipment and medical supplies for potential use by a patient covered by Medicare, Medicaid, or a health benefit plan would be required to file a Certificate of Exemption with the Department of Revenue in order to be eligible for tax exemption of these items. The bill has passed the House, and is now under consideration in the Senate.

To learn more about the bill, please search “HB131” on the AL legislature website.

ALERT: H 4096 has successfully passed the Joint Health Care Financing Committee - October 22, 2025

H 4096 has successfully passed the Joint Health Care Financing Committee, and will now head to the House Ways and Means Committee.

ALERT: HR 299 has been adopted! - October 22, 2025

ALERT: LL/LD Awareness Month Legislation Introduced (1/26/2024):

HR 299 would recognize April 2024 as “Limb Loss Awareness Month” in the state.

For more information on the bill, click here.

ALERT: SB 614 and HB 865 have been signed into law - October 22, 2025

SB 614 and HB 865 have been signed into law by MD Governor Wes Moore, marking Maryland as the sixth state to enact activity-specific coverage legislation!

ALERT: ISOP looked to implement a 21% rate increase of 2024 Medicaid for custom O&P and CROs with staggered 7% increases for 2025, 2026, and 2027 - October 22, 2025

• • 7% increase for 2025 was granted via inclusion in larger omnibus bill SB 3268, which passed both Houses two weeks ago
    • IL Healthcare and Family Services Department have proposed that ISOP seek future General Assembly approval for full three year increase amount; Assembly Budget Chair Rep. Gabel supports HFS’ proposal

ALERT: Medicaid Legislation Introduced (3/11/2024)

Companion bills HB 5769 and SB 3910 would:

• Provide that coverage for custom O&P under Medicaid FFS and Medicaid MCOs be no less favorable than the terms and conditions that apply to substantially all medical and surgical benefits; and
• Ensure that all Medicaid MCOs comply with the network adequacy requirements for custom O&P, including CROs
• Increase the current 2024 Medicaid rate by 21% via staggered 7% increases in 2025, 2026, and 2027

For more information on the bills, click here.

ALERT: So Every BODY Can Move Legislation Introduced - October 22, 2025

HB 2399 would ensure that state-regulated commercial plans cover custom O&P if deemed medically necessary by the treating physician, including activity-specific O&P. For more information on the bill, please click here.

ALERT: MN’s SEBCM provisions were officially included in the omnibus spending package that was passed during the final hours of the MN legislature, marking MN as the seventh state in the nation to pass activity-specific coverage legislation! - October 22, 2025

UPDATE (5/10/2024): MN’s omnibus spending package, SF 4699, which currently includes SEBCM provisions, has passed both the Senate and House. The bill will now go to a conference committee, during which the bill may be amended and reapproved before being sent to the Governor. To read the bill, click here.

UPDATE (3/21/2024): SF 3351 has successfully passed out of the Senate HHS Committee! The bill will now move to the Senate floor for a chamber-wide vote.

UPDATE (3/11/2024): Both HF 3339 and SF 3351 have successfully passed out the Commerce Committees in their respective chambers! The bills will now move to the House and Senate Health Committees.

ALERT: Insurance Fairness, Activity-Specific & Showering/Bathing Device, and Non-Discrimination Legislation Introduced (5/22/2023):

Companion bills HF 3339 and SF 3351 require that state-regulated commercial plans and MN Medicaid:

• Cover O&P at a level at least equivalent to that provided by Medicare
• Cover activity-specific devices for enrollees of all ages
• Cover showering/bathing devices for enrollees of all ages
• Follow nondiscrimination standards related to the coverage of O&P care

For more information on the bills, please click here.

ALERT: The NY Medicaid MCO Parity bill came just short of a full Senate vote due to the end of the legislative session and pushback from the insurance lobby. Advocates in the state are planning on reaching out to their state Senators to request a special session to provide more time to consider the bill. - October 22, 2025

UPDATE (6/12/2024): A3408 has passed the Assembly, and will now move on to the Senate.

UPDATE (10/30/2023): NYAAOP has released a response to the NY Health Plan Association’s memo in opposition to S3468/A3408. To read the letter, click here.

ALERT: Medicaid MCO Reimbursement Legislation Introduced (2/1/2023):

S03468 and identical companion bill A03408 require that Medicaid MCOs reimburse for O&P at no less than 100% of traditional Medicaid.

For the full bill text, please click here.

ALERT: SB 177 has been signed by Governor Sununu, and has officially been enacted into law! New Hampshire is now the 8th state to pass activity-specific O&P coverage legislation. - October 22, 2025

UPDATE (5/15/2024) SB 177 has passed the House, and will move to Governor Sununu’s desk for his signature!

UPDATE (1/10/2024): SB 177 has passed the Senate!

UPDATE (11/7/2023): After being re-referred to Senate HHS, SB 177 has officially passed out of committee with a 5-0 vote in favor. The bill has been amended to focus on coverage for activity-specific prostheses and now excludes activity-specific orthoses. In addition, the amendments removed coverage and payment alignment with Medicare, and limit activity-specific devices to one per plan year.

UPDATE (2/8/2023): SB 177 was approved by the NH Senate Health and Human Services Committee during a hearing on 2/8, during which Paul Jenkins (Hanger) provided testimony.

ALERT! Activity-Specific Device Coverage Legislation Introduced (1/20/2023):

With the help of NAAOP President Maggie Baumer, SB 177, which mandates coverage of activity-specific O&P devices for enrollees under 18 in private group and individual plans in the state, has been introduced in the NH Senate by Sen. Sue Prentiss.

For the full bill text, please click here.

ALERT: SB 455 was signed into law on August 2, 2024 and it requires the department of health and human services to take measures to increase Medicaid reimbursement rates for orthotic and prosthetic devices to equal or no less than 90% of Medicare reimbursement rates. - October 22, 2025

UPDATE (4/26/2024): SB 455 has passed the Health, Human Services and Elderly Affairs Committee with a 17-3 vote in favor!

UPDATE (3/28/2024): SB 455 has officially passed the Senate, and will now move to the House.

UPDATE (2/23/2024): SB 455 has been reported favorably from the NH HHS Committee with a 5-0 vote! The bill has been amended to set Medicaid reimbursement at 90% of Medicare (as opposed to the initial rate of 100%).

UPDATE (1/10/2024): SB 455 has been heard in the NH Senate Health and Human Services Committee. Testimony in support of the bill was provided by Samantha Torrice and Chris Philips of Seacoast Prosthetics. To watch the hearing, click here (SB 455 is heard from approximately 30:00 to 51:00).

ALERT: Medicaid Reimbursement Legislation Introduced (1/3/2024): SB 455, introduced by Senator Sue Prentiss, would require that NH Medicaid reimburse for O&P services at a level equal to Medicare.

For more information, please click here.

ALERT: Proposition 35 passed with a projected 2/3 approval vote. - October 22, 2025

ALERT (11/5/2024): Last Monday, AOPA sent out an email to 940 member contacts in California to inform them of a ballot measure, Proposition 35. The message shared is below.

“Recently, the California Orthotic and Prosthetic Association (COPA) has communicated information regarding an upcoming state-wide ballot measure known as Proposition 35. If passed, Proposition 35 would ensure that funds allocated for improvements to the Medi-Cal program may only be used for that purpose, instead of being redistributed for non-healthcare purposes such as addressing overall state budget shortfalls. A “Yes” vote on Proposition 35 may be beneficial for you, your patients, and your business.

Maggie Baumer, JD, Hanger Clinic’s Leader of Enterprise Patient Advocacy has been supporting COPA to promote awareness of Proposition 35 and AOPA wants to ensure our members and partners in California are aware of this important issue should you want to take action.

What is Proposition 35?
In order to reduce California’s deficit, the Governor has redirected a significant portion of funds—over $30 billion—from healthcare to non-healthcare purposes. These healthcare funds were initially designated for rate increases for Medi-Cal providers. If passed, Proposition 35 will protect the funds intended for healthcare improvements from being used for other purposes without raising taxes.

What is the impact on O&P?
O&P Medi-Cal fee schedules have not been updated for decades and the current fee schedule is well below today’s standards. As a result, many healthcare providers are making the difficult choice to not provide care to Medi-Cal beneficiaries. Proposition 35 will protect and expand patient access to care across specialties and providers by protecting the funds dedicated for healthcare provider rate increases.

ALERT: Continuing Education (CE) Requirements for Licensing Change - October 22, 2025

Per an announcement from the Texas Department of Licensing and Regulation (TDLR), changes will be implemented starting January 6, 2025. TDLR will no longer confirm CE credits before renewing your prosthetist or orthotist license. Instead, you might be randomly selected for an audit of your hours after you’ve renewed. TDLR is excited about making this change to help get your license issued faster. Previously, failing to complete your CE would prevent license renewal. Going forward, it could result in an administrative penalty. TDLR emphasized the importance of making sure that you keep your CE records current.

ALERT: Policy Changes Seen In Response to 2024’s SB 177 - October 22, 2025

Northwood’s Lower Limb Prosthesis Medical Policy (present in multiple states), added a section for specifically addressing WellSense NH Commercial Members (NH Clarity members under 19) shown below. A similar update was added to Northwood’s Myoelectric Upper Limb Prosthesis Medical Policy. It’s exciting to see the policy changes resulting from legislation!

ALERT: Activity-Specific Orthotic Legislation Introduced - October 22, 2025

2/4/2025 So Every BODY Can Move State Lead, Sheryl Sachs, has created a form linked here for patients and providers to provide written testimony in support of SB0406/HB0383, which would require insurance companies to provide activity-specific orthotic devices to patients when medically necessary. Please fill this out by no later than February 8. This testimony will be given to the Senate Finance Committee at the hearing on the bill on February 12. Even 1-2 sentences can be helpful!

Earlier this month, bills H.B. 0383 and S.B. 0406, were introduced. This legislation expands on previously passed So Every BODY Can Move legislation, which allowed for activity-specific prosthetic coverage by certain plans, by requiring the Maryland Medical Assistance Program and certain insurers, nonprofit health service plans, and health maintenance organizations to provide coverage for medically necessary orthoses for activities of daily living, essential job-related activities, and physical activities such as running or swimming.

A hearing is scheduled for H.B. 0383 on January 30 at 1:30 PM and a hearing for S.B. 0406 is scheduled for February 12 at 1 PM.

To learn more, click here and here.

ALERT: Insurance Fairness Legislation Introduced - October 22, 2025

Earlier this month, LB 410 was introduced and referred to the Banking, Commerce, and Insurance Committee. If passed, it would require individual, group, and self-funded employer plans to provide coverage of medically necessary prosthetics and orthotics at least to the level they would be covered under the federal Medicare program. This kind of legislation is foundational to pursuing future legislation providing coverage for activity-specific orthotic and prosthetic devices through So Every BODY Can Move.

To learn more, click here.

ALERT: So Every BODY Can Move Legislation Introduced - October 22, 2025

Last week, S.B. 1015: An Act Requiring Health Insurance Coverage for Activity-Specific Prosthetic and Orthotic Devices, was introduced and referred to the Joint Committee on Insurance and Real Estate. It would affect individual and group health insurance policies.

To learn more, click here.

ALERT: Minnesota Policy Updates - October 22, 2025

BCBS Minnesota’s Interventions for Progressive Scoliosis Policy has been updated. Effective for dates of service on or after January 1st, 2025, the statement “Custom fabricated orthoses for the treatment of scoliosis created by 3-D or CAM-CAD technologies(i.e., Rigo, Cheneau) is considered investigational” is no longer in present in the policy. The same update is seen in BCBS Alabama’s Commercial Policy.

UPDATE (1/30/2025): More policy changes seen resulting from So Every BODY Can Move Legislation

(Commercial Plan) UCARE’s Medical Equipment policy for Individual and Family Plans now explicitly states:

• Prosthetics includes coverage of, but is not limited to:
   Orthosis, orthotics, prosthesis, and prosthetics devices, supplies, and services, custom
  fit devices, evaluation, analysis, treatment, periodic evaluation, etc.
   Devices that meet the medical needs for performing physical activities for the best
  quality of life and mobility
  o Needs such as swimming, biking, running and/or
  o Devices for showering or bathing.

Minnesota Medicaid (FFS) – Orthotics – Medical Policy, reads:

“Minnesota Health Care Programs (MHCP) covers orthotic and prosthetic devices, supplies, and services that are medically necessary and prescribed by a physician or licensed health care prescriber who has authority in Minnesota to prescribe orthoses and prostheses, including devices customized to the member’s needs. MHCP covers an additional orthotic and prosthetic device for all MHCP members for purposes of bathing or showering. For eligible members, MHCP also covers an orthotic and prosthetic device for purposes of performing physical activities including, but not limited to, running, biking, swimming, and maximizing the enrollee’s limb function. Devices for purposes of bathing or showering do not require prior authorization unless the member already has devices for both everyday use and recreation. Prior authorization is required for devices for recreational purposes”

The first version of this Medicaid policy with this wording was in July, shortly after the SEBCM legislation passed.

UPDATE (1/10/2025): As a result of Minnesota’s recently-enacted So Every BODY Can Move legislation, changes to policy are already being seen! Blue Cross Blue Shield of Minnesota’s commercial policies around Myoelectric Prosthetic and Orthotic Components for the Upper Limb and Microprocessor-Controlled Prostheses for the Lower Limb have been updated with similar language changes. Below are examples of the changes within the Myoelectric Prosthetic and Orthotic Components for the Upper Limb policy.

Under the previous policy BCBS Minnesota deemed myoelectric upper limb prostheses and orthotic components as not medically necessary for the following reasons:

• Patient does not meet medical necessity criteria in Section I of the policy Duplication or upgrade of a functional prosthesis
• Repair or replacement of parts for a duplicate myoelectric upper limb prosthesis
• Myoelectric upper limb prosthesis or additions/components not required for participation in normal activities of daily living, including but not limited to those that:
  • Are chiefly for convenience including participation in recreational activities
  • Exceed the medical needs of the patient (e.g., back-up prosthetic device or waterproof prosthesis)
• Repair or replacement of a myoelectric upper limb prosthesis for any of the following:
  • Appearance or convenience
  • Malicious damage or neglect
  • Use in environments that limit functional life of the device (e.g., excessive moisture, dust or other conditions not recommended by manufacturer)

The updated policy expands coverage for myoelectric upper limb prostheses and orthotic components when ALL of the following conditions are met:

• The individual has an amputation or missing limb at the wrist or above (e.g., forearm, elbow, shoulder); AND
• Standard body-powered prosthetic devices cannot be used or are insufficient to meet the functional needs of the individual (e.g., gripping, releasing, holding, and coordinating movement of the prosthesis); AND
• The remaining musculature of the arm(s) contains the minimum microvolt threshold to allow operation of a myoelectric prosthetic device; AND Meets requirements of the device specified by the manufacturer; AND
• The individual has demonstrated sufficient neurological and cognitive function to operate the prosthesis effectively; AND
• The individual is free of comorbidities that could interfere with function of the prosthesis (e.g., neuromuscular disease); AND
• Functional evaluation indicates that with training, use of a myoelectric prosthesis is likely to meet the maximum functional mobility and/or physical activity needs of the individual (e.g., ADLs, running, biking, swimming). This evaluation should consider the individual’s needs for control, durability (maintenance), function (speed, work capability), and usability.

This is a direct result of the So Every BODY Can Move legislation recently enacted in Minnesota. It’s exciting to see the impact of the legislation already taking effect in policies, increasing access to orthotic and prosthetic care!

ALERT: Health Alliance Plan of Michigan: Prosthetic Devices: Upper Limb Prostheses (Standard and Myoelectric) and Orthotic Devices- Medical Policy was recently updated - October 22, 2025

A notable change was the addition of coverage criteria for “Myoelectric upper-limb whole prosthetic hands with independent articulating digits” and “Orthosis for upper limb,” shown below.

3. Myoelectric upper-limb whole prosthetic hands with independent articulating digits (L6880) may be considered for coverage when ALL the following conditions are met: a. Member meets the above criteria for a myoelectric upper limb prosthetic b. Member has an amputation or missing limb at the wrist or above (forearm, elbow, etc.) c. Member has used a standard myoelectric prosthesis for one year or more and found insufficient to meet the functional needs of the Member in performing activities of daily living
4. Orthosis for upper limb: a. An upper extremity orthotic device (HCPCS codes L3650-L3999) (non-myoelectric, nonpower enhanced) is covered for HAP/AHL Members who require stabilization or support of the upper limb when the use of the orthotic device is expected to have improved function such as but not limited to the following uses: i. Used to substitute for weak muscles (such as following cervical spine injury, brachial plexus injury, peripheral nerve injury [e.g., median, ulnar or radial nerves], sprain, strain) ii. Used to support or immobilize a structure (e.g., rheumatoid arthritis, osteoarthritis, overuse syndromes[such as lateral epicondylitis, cubital tunnel syndrome, carpal tunnel syndrome, de Quervain tenosynovitis, trigger finger], trauma, following surgical repairs, fractures [such as acromioclavicular dislocation, clavicle fracture]) iii. Used prevent contracture or deformity from neurological injury (such as brain injury, stroke, spinal cord injury, brachial plexus injury, peripheral nerve injury) iv. Used to correct joint contractures resulting from disease or immobilization (such as post fracture, burns) v. When device is necessary to carry out ADLs (e.g., spinal cord injured individuals)

Health Alliance Plan of Michigan policy update published on 7-21-17, which included the following changes:

Reviewed with changes to criteria, limitations, exclusions and coding. 
Updated criteria for “An upper limb myoelectric prosthetic device”:
Reworded criterion regarding absence of upper limb. 
Added criterion: Absence of a comorbidity that might interfere with maintaining the function of the prosthesis (e.g., neuromuscular disease).

Added limitations pertaining to the following scenarios:

• Device is not in a serviceable condition due to neglect.
• Device is no longer under warranty.
• The cost of repair is not greater than replacement costs.

Added exclusions:

• Myoelectric upper-limb prosthetic components are not covered for indications other than those addressed under coverage criteria as the effectiveness in other situations has not been established.
• A prosthesis with individual y powered digits, including but not limited to a partial hand prosthesis, is considered experimental and investigational and is not covered.
• Transcranial direct current stimulation for enhancing the performance of myoelectric prosthesis is not covered because it is considered experimental and investigational due to a lack of evidence of effectiveness.
• Implantable myoelectric sensors for upper limb prostheses and hand prosthesis are not covered as they are considered experimental and investigational as the effectiveness has not been established.

ALERT: Legislation Relating to Licensing Requirements of Orthotists and Prosthetists Filed - October 22, 2025

Bill S.B. 918, Relating to the licensing requirements of orthotists and prosthetists, was filed on January 24. It seeks to modify Section 605.254, Occupations Code. The bill would allow the commission to exempt a person from one or more of the clinical training , academic, or examination requirements if said person could provide evidence that they are uniquely qualified to practice orthotics and/or prosthetics.

To learn more about this bill, click here.

ALERT: So Every BODY Can Move Legislation Introduced - October 22, 2025

In January, IN SB 270 was introduced, it is now in the Committee on Insurance and Financial Institutions. If passed, it would help provide coverage for activity-specific and showering/bathing orthotics and prosthetics by state employee health plans.

The implementation of Medicaid work requirements in Indiana has been brought to a halt by the state Medicaid program, amid pending litigation concerning whether imposing the requirements and other proposed changes would violate the purpose of Medicaid. The state said it will not revoke coverage for Medicaid beneficiaries that fail to comply with the rules – an estimated 24,000 people – until a federal court has reached a decision.

ALERT: BCBS Alabama (Commercial) Updates Policy - October 22, 2025

BCBS Alabama’s Interventions for Progressive Scoliosis Policy has been updated. Effective for dates of service on or after January 1st, 2025, the statement “Custom fabricated orthoses for the treatment of scoliosis created by 3-D or CAM-CAD technologies(i.e., Rigo, Cheneau) is considered investigational” is no longer in present in the policy. The same update is seen in BCBS Minnesota’s Commercial Policy.

ALERT: Medicaid Legislation Update - October 22, 2025

Earlier this month, HB 503 died in committee. Through advocating for this legislation, positive relationships were made and strengthened that can support efforts for impactful O&P legislation for Mississippi in the future.

ALERT: Medicaid Legislation Introduced (1/30/2025)

Earlier this month, HB 503 was introduced and referred to the Medicaid and Appropriations A committees. If passed, a statewide uniform fee schedule for Medicaid would be calculated using 100% of of the Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Rural Fee Schedule in effect on January 1 of each year. This change could provide a significant benefit for O&P providers in Mississippi and increase access to care.

To message Mississippi legislators on the Medicaid and Appropriations A committees in support of this bill, click here.

To learn more about the bill, click here.

ALERT: Show New Hampshire Legislators That You Support SB 132! - October 22, 2025

New Hampshire residents, please take a few minutes and click here to fill out this form to write to the New Hampshire Senate’s Health and Human Services Committee to show your support for SB 132.

ALERT: New So Every BODY Can Move Legislation Introduced (1/28/2025)

Earlier this month, SB 132 was introduced and referred to the Senate Health and Human Services Committee. This would require health insurance policies to provide coverage for prosthetics for adults, including activity-specific devices. SB 132 expand on the existing law, which requires coverage of prosthetics, including activity-specific prosthetic devices, for children under 19.

A hearing is scheduled for January 29th at 9:15 AM.

To learn more about the bill, click here.

ALERT: UHC Community Plan Policy Change - October 22, 2025

Earlier this month, the UHC Community Plan (for Indiana Medicaid) retired it’s Upper Extremity Prosthetic Devices policy. Just because there is no policy, however, does not mean that coverage will necessarily be provided for these devices. UHC can still review claims and approve or deny them.

ALERT: Multiple Bills Beneficial to O&P Have Been Filed - October 22, 2025

Email Your Legislators SB 1015 is a So Every BODY Can Move bill and if passed, would require all individual and group health insurance policies regulated by state law cover orthotic and prosthetic devices intended for physical activity for enrollees of all ages.

HB 6100, if passed, would require that Medicaid rates for custom orthotic and prosthetic devices be increased.

SB 173, if passed, would require that Medicaid rates of reimbursement are increased to corresponding Medicare rates of reimbursement for health care professionals, including orthotists and prosthetists.

SB 162, if passed, would require that Medicaid rates of reimbursement for DME, including orthotics and prosthetics supplies, are equal to 100% of the corresponding, non-rural Medicare payment rates, that annual increases in rates are made to equal any increase in the consumer price index, that Medicaid rates be increased for services covered by Medicaid but not Medicare, and that any covered equipment, supplies, or technology that doesn’t have a set reimbursement rate be paid at a certain level.

Here is a link to our Connecticut O&P Action Center, which holds links to all of these email-writing campaigns. It just takes a few moments to let state legislators know you support these bills!

ALERT: Certain Medicaid Policies Open for Comment - October 22, 2025

The Louisiana Department of Health has opened comment periods for the following Medicaid policies that affect prosthetics.

• 2025-UHC-1873 (Lower Extremity Prosthetics), with the comment period closing on 28 Mar 2025

• 2025-UHC-1849 (Upper Extremity Myoelectric Prosthetic Devices), with the comment period closing on 11 Apr 2025

Use this link to go to the webpage where you can find the policies and the form to use to provide the comments.

ALERT: Medicaid Coverage of Prosthetic Devices for Adults Legislation Introduced - October 22, 2025

Bills SB 1466 and HB 5544 have been introduced. Texas is the only state where Medicaid does not cover prosthetic devices for people over 20 years old. If passed, Medicaid would be required to provide coverage for necessary prosthetic devices, regardless of the recipient’s age.

Use this link https://p2a.co/PHAKYCz to email Texas legislators in support of these bills!

ALERT: So Every BODY Can Move Legislation Introduced - October 22, 2025

H. 432, if passed, would require state regulated health insurance plans as well as Medicaid and any other public health care assistance program offered or administered by the State or by any subdivision or instrumentality of the State in the state to cover activity-specific and showering/bathing orthotic and prosthetic devices.

If you’re a Vermont resident, use this link (https://p2a.co/ivWFOS7) to email Vermont legislators in support of H. 432!

ALERT: So Every BODY Can Move Legislation Introduced - October 22, 2025

Earlier this year TN HB 406/SB 422 was introduced. HB 406 has a hearing on 3/25 at 10:30 am in the House Insurance Committee. SB 422 is on the Senate Commerce and Labor Committee’s calendar for 3/25.

ALERT: University of Utah Health Plans Has Added a Pending New Policy for Myoelectric Prosthetic Components for the Upper Limb - October 22, 2025

University of Utah Health Plans is updating its coverage policy for patients who depend on upper limb prosthetic technology. The new policy denies coverage for:

• Myoelectric partial hand prostheses
• Multi-articulated hand terminal devices
• Upper limb prosthetic donning sleeves
• External powered orthoses such as the MyoPro

This change affects all commercial, CHIP, and Medicaid plans under University of Utah Health Plans and limits access to clinically appropriate, evidence-based care for individuals with upper limb differences or loss.

If you have concern about this and would like to join in responding to this policy, please reach out to Chris Baschuk, who is organizing a response, chris@pointdesigns.com.

ALERT: Tell the Joint Committee on Financial Services to Support So Every BODY Can Move Legislation - October 22, 2025

If you’re a Massachusetts resident, please fill out the form at this link(https://p2a.co/tdM43jT ) to email target legislators in support of H 1178/S 811/S 836, So Every BODY Can Move bills.

ALERT: So Every BODY Can Move Legislation Introduced (1/28/2025)

Earlier this month, bill drafts H.D. 3787 and S.D. 1134 were filed. These bills would require health plans to provide coverage for medically necessary prosthetic and orthotic devices for daily use, for physical activities, such as running or swimming, and for showering and bathing.

To learn more, click here for H.D. 3787 and here for S.D. 1134.

ALERT: So Every BODY Can Move Bill Signed Into Law - October 22, 2025

HB 1669 passed in the Senate with 41 yeas and 8 nays. It was then signed into law by Governor Ferguson. This makes Washington the 9th state to pass So Every BODY Can Move legislation! The law is effective July 27 of this year.

This bill requires health plans to provide coverage for prostheses and custom orthotic braces used for activities of daily living and for performing physical activities, such as running or swimming when medically necessary.

UPDATE: HB 1669 Moves to Senate Rules Committee (3/25/2025)
In the Senate Committee on Health & Long-Term Care on Friday, the majority of the committee voted to pass HB 1669. Monday, the bill was passed to the Senate Rules Committee for a second reading.

UPDATE: HB 1669 passed in the House! (3/24/2025)

On March 12, HB 1669 passed in the house with an 80-17 vote (1 excused)! It is now in Senate Committee on Health & Long-Term Care.

UPDATE: Companion Bill in Senate and Public Hearings in House and Senate (2/12/2025)

The Senate version of HB 1669, SB 5629 was introduced at the end of last month. To learn more about SB 5629, click here.

On February 11, a public hearing was held in the House Committee on Health Care & Wellness for HB 1669. A public hearing was also held for SB 5629 in the Senate Committee on Health & Long-Term Care.

ALERT: So Every BODY Can Move Legislation Introduced (1/28/2025)

HB 1669 has been introduced and referred to the Health Care & Wellness Committee. This bill would require health plans to provide coverage for prostheses and custom orthotic braces used for activities of daily living and for performing physical activities, such as running or swimming when medically necessary.

To learn more about the bill, click here.

ALERT: So Every BODY Can Move Legislation Signed Into Law! - October 22, 2025

SB 101 was signed into law by Governor Kemp. This makes Georgia the 10th state to pass So Every BODY Can Move legislation!

ACTION ALERT: Take action now! (4/3/2025)

The So Every BODY Can Move language has been added to SB 101. Friday, April 4 is the last day of the legislative session for Georgia. Georgia residents, please this link to write all Georgia State Senators in support of SB 101. April 4 is the last day to cross this over the finish line in the Senate for this session.

ACTION ALERT: HB 87 passed in the House and is now under consideration in the Senate (3/24/2025)

Earlier this month, HB 87 passed in the House with 171 Yeas and 2 Nays. HB 87 is now in the Senate for consideration. There is a hearing for HB 87 in the Senate Committee on Insurance and Labor on March 25 at 3 PM. Use this link to email Georgia State senators to let them know you support HB 87!

ACTION ALERT: SB 265, companion bill to HB 87 introduced (2/27/2025)

The Senate version of the So Every BODY Can Move bill, SB 265, was introduced yesterday and assigned to the Georgia Senate Insurance and Labor Committee. Use this link to email Georgia legislators on the House Rules Committee and Senate Insurance and Labor Committee in support of HB 87 and SB 265!

ACTION ALERT: Tell the House Rules Committee That You Support HB 87! (2/24/2025)

Earlier today, HB 87 passed through the House Health Committee and has moved to the House Rules Committee! Please take a few moments to fill this out to write the members of the House Rules Committee in support of HB 87.

ACTION ALERT: Show Georgia Legislators That You Support HB 87! (2/12/2025)

Georgia residents, please take a few moments to fill out the form linked here, to automatically email the Georgia House Committee on Health and voice your support for HB 87.

ALERT: So Every BODY Can Move Legislation Introduced (1/28/2025)

Earlier this month, HB 87, was introduced. The bill, if passed, will require health plans to provide coverage for medically necessary prosthetic and orthotic devices used for activities of daily living, essential job-related activities, personal hygiene activities such as showering and bathing, and physical activities such as running or swimming.

To learn more, click here.

ALERT: So Every BODY Can Move Legislation Introduced and Passed in the House! - October 22, 2025

Last month, NC HB 906, referred to as Regan’s Law, was introduced in the House. On May 6, it was unanimously passed in the House 110-0! Now, it is in the Senate, in the Committee on Rules and Operations of the Senate.

ALERT: HFS Confirms Medicaid Rate Increases - October 22, 2025

In late June, the Illinois Department of Healthcare and Family Services (HFS) confirmed the public notice for the 7% rate increase for 240 OPP custom L-codes for Illinois Medicaid. This rate increase was passed in 2023 and was effective as law on 1/1/2025. The rate increase is available as of 6/1/2025.

The updated rates can be accessed here: https://hfs.illinois.gov/medicalproviders/medicaidreimbursement/dme.html

Three items of note include:

1. Claims with old rates submitted after 1/1/2025 are eligible for retroactive updated reimbursement for the 240 listed custom L-codes.
2. Caution: Currently, this process requires the entire initial repayment of the original claim submitted after 1/1/2025, which can be an administrative nightmare.
3. HFS may consider other options with a clear process.

ISOP extends their thanks to all those who supported this effort along the way since 2023 including their lobbyist, Bukola Bello, Dan Hasso, CPO/L (NUPOC), Sourabh Nagale, CPO/L, Lurie Hosp. and Cristina Pena, Kay Newton, and Hanger Clinic!

ALERT: So Every BODY Can Move Legislation Signed Into Law - October 22, 2025

On June 3, Governor Kotek signed SB 699 into law. This makes Oregon the 11th state to pass So Every BODY Can Move legislation!

UPDATE: So Every BODY Can Move Legislation Passed Unanimously in the House (5/23/2025)

SB 699 passed unanimously in the house on Wednesday, May 21 with 49 Ayes. Next, it goes to the Governor’s desk.

ACTION ALERT: SB 699 Scheduled for House Floor Vote on Wednesday (5/20/2025)

SB 699 passed unanimously in the House Committee on Behavioral Health & Health Care. It is now scheduled for a floor vote between 11 AM-1 PM PST on Wednesday, May 21. Fill out this link (https://p2a.co/xfHC5Uo ) to write your House Representative in support of this So Every BODY Can Move bill.

UPDATE: SB 699 Passed in the Senate (5/14/2025)

Last month, SB 699 passed in the Senate unanimously (with one Senator excused)! Now, it is in the House Committee on Behavioral Health & Health Care.

UPDATE: Work Session Scheduled for So Every BODY Can Move Legislation (3/24/2025)

A work session with SB 699 in the Senate Committee on Health Care for March 25.

ALERT: So Every BODY Can Move Legislation Introduced (1/28/2025)

Earlier this month, SB 699, was introduced and referred to Health Care committee. This bill, if passed, would require individual and group health insurance plans to cover prosthetic and orthotic devices, when medically necessary, for doing activities of daily living, job-related tasks, and for performing physical activities such as running or swimming.

A hearing is scheduled for January 30.

To learn more, click here.

ALERT: H.B. 426 Signed Into Law! - October 22, 2025

On June 20, Governor Abbott signed H.B. 426 into law. This will require Medicaid and CHIP to fully cover CROs for infants with plagiocephaly according to agreed-upon clinical standards.

ACTION ALERT (6/12/2025): Let Governor Abbott Know You Support H.B. 426!

TX H.B. 426 has passed in the House and the Senate. Now, it needs Governor Abbott’s signature to pass. Use this form to automatically email Governor Abbott in support of H.B. 426.

UPDATE (1/30/2025): Click here to write your Texas House representative in support of H.B. 426.

ALERT: TX H.B. 426 introduced on November 12 (11/14/2024)

TX H.B. 426, sponsored by Representative Bernal and relating to Medicaid and child health program coverage and reimbursements for childhood cranial remolding orthosis, was introduced on November 12, 2024 for the session starting in January 2025. It would add to the Health and Safety Code (Subchapter D, Chapter 62) stating that the child health plan (CHIP) must cover in full the cost of a cranial remolding orthosis for an enrollee in the same manner that Medicaid coverage is provided for other orthoses.  If passed, it would take effect September 1, 2025. This bill has been introduced in prior legislative sessions, but has died in committee. AOPA’s CRO Workgroup will review the bill language and develop strategy regarding potential support for the bill.

For the full bill text, please click here.

ALERT: So Every BODY Can Move Legislation Signed Into Law! - October 22, 2025

NJ S.1439 was signed into law yesterday by Governor Murphy, making New Jersey the 12th state to pass SEBCM legislation!

UPDATE (6/12/2025): So Every BODY Can Move Legislation Passes in the Assembly

Late last month, the So Every BODY Can Move bill passed in the Assembly with 75 Yea votes. It passed in the Senate last year, so now the next step is for it to go to Governor Murphy.

ACTION ALERT (5/14/2025): Email Key Legislators to show support for So Every BODY Can Move!

If you’re a New Jersey resident, please fill out the form at this link (https://p2a.co/rU0oBfL ) to tell key Assemblymembers to bring A3856 to a floor vote before the session ends.

UPDATE (3/25/2025): A3856 passed the Assembly Appropriations Committee

The So Every BODY Can Move bill passed, with amendments, in the Assembly Appropriations Committee on March 20, with 10 yes votes and 1 abstaining. Next steps include a floor vote.

UPDATE (12/12/2024): A3856 (companion bill S1439) passed the Assembly Financial Institutions and Insurance Committee on 12/9/2024 and has been referred to the Assembly Appropriations Committee.

If you’re a New Jersey resident, please contact your legislators using this link (https://p2a.co/rU0oBfL ) to express your support for A3856.

UPDATE (6/28/2024): S1439 has passed the Senate with a unanimous 40-0 vote! The bill now moves to the Assembly Financial Institutions and Insurance Committee.

UPDATE (6/27/2024): S1439 has passed the Senate Budget and Appropriations Committee, and will now head to a Senate floor vote.

UPDATE (5/13/2024): S1439 has passed the Senate Commerce Committee, and has now been assigned to the Senate Budget and Appropriations Committee.

UPDATE (2/14/2024): A3856, identical companion bill to S1439, has been reintroduced in the NJ Assembly by Rep. Herb Conoway.

UPDATE: SO Every BODY Can Move Legislation Reintroduced (1/12/2024): S1439 is identical to S3919, and has the same legislative sponsors (Senators Bucco, Singleton, and Diegnan).

To learn more about the bill, click here.

UPDATE (1/8/2024): S3919 has passed the Senate with a unanimous 35-0 vote!

UPDATE (1/5/2024): S3919 has officially passed the NJ Budget and Appropriations Committee with 11 votes in favor and 2 not present votes. The bill will now move to the Senate floor.

UPDATE (1/3/2024): S3919 has officially passed the NJ Senate Commerce Committee with a unanimous 5-0 vote! Witnesses included Steve Slawinski of Boston O&P and John Blaskovich of MedEast. The bill will now move to Budget and Appropriations.

UPDATE: Legislative Hearing Scheduled (12/13/2023): S3919 has been scheduled to be heard by the NJ Senate Commerce Committee on Monday, December 18th at 1pm ET. The hearing will take place in Committee Room 6, First Floor, State House Annex, Trenton, NJ, and can also be accessed virtually through the NJ legislature’s website. For more information, please click here (for virtual access, click “Live Proceedings” near the top of the page).

UPDATE: Companion Bill Introduced (12/11/2023): A5875, introduced by Assemblyman Herb Conaway Jr., is identical to S3919.

ALERT: Activity-Specific Device Coverage Legislation Introduced (6/7/2023):

S3919 mandates coverage of activity-specific orthoses and prostheses (when deemed medically necessary by the patient’s treating physician) for enrollees of all ages in hospital, medical, and health service corporations; commercial individual, small employer, and larger group insurers; health maintenance organizations; and the State Health Benefits Program and the School Employees’ Health Benefits Program.

For more information on the bill, please click here.

ALERT: Tell the Joint Committee on Health Care Financing to Support So Every BODY Can Move Legislation - October 22, 2025

Massachusetts’s So Every BODY Can Move bills, have been renumbered and are now H.4549/S.811, and have been referred to the Joint Committee on Health Care Financing. Massachusetts residents can use this link to email state legislators on this committee and show support for these bills.

These bills, if passed, would require state-regulated commercial plans, public employee plans, and Medicaid provide coverage for activity-specific orthotic and prosthetic devices for patients of all ages.

ALERT: Medicaid MCO Parity Legislation Passed in Assembly and Senate - October 22, 2025

As of June 12, A2520 passed in both the Senate and Assembly. It is expected to be delivered to the Governor’s desk in the fall.

In early June, AOPA submitted a memorandum in support of this legislation.

ALERT (1/29/2025): Medicaid MCO Parity Legislation Introduced

Bill S1616/A2520 was introduced earlier this month. If passed, it would require Medicaid managed care organizations to cover DMEPOS services at no less than one hundred percent of established NY Medicaid fee rates.

To write your New York legislators in support of this bill, click here.

To learn more, click here.

ALERT: Minnesota Medicaid Orthotics and Prosthetics Policy Update - October 22, 2025

As of June 12, 2025 Minnesota Medicaid revised their Orthotics and Prosthetics Policy. The policy has been amended to include more comprehensive criteria for HCPCS codes L2005 and L2006. Both codes require authorization and are considered lower limb orthotics. The criteria are listed below:

“Custom-fabricated knee-ankle-foot orthoses (KAFOs) with automatic lock and swing-phase release (L2005) and microprocessor-controlled KAFOs (L2006) are covered with authorization if all of the following criteria are met:

• The member is ambulatory and use of a KAFO is appropriate; and
• The member has cardiovascular, cognitive, and physical ability to use the device; and
• Documentation articulates reasonable likelihood of improved mobility or stability with the device instead of a standard KAFO; and
• Documentation articulates need for ambulation and how device enhances member’s ability to perform activities of daily living (ADLs); and
• Consideration of less costly alternatives; and
• A trial demonstrates the member is able to use the device”