Ill. Senate Democrats: Gillespie Expands Coverage for Prosthetic and Orthotic Devices

SPRINGFIELD, Illinois, Aug. 9 -- The Illinois Senate Democrats issued the following news on Aug. 8, 2023:

More individuals needing prosthetic or orthotic devices will soon have them covered by insurance under a measure sponsored by State Senator Ann Gillespie that was signed into law Monday.

"With this legislation, we are ensuring that those who use prosthetic or orthotic devices can acquire the most appropriate models to enhance their overall health," said Gillespie (D-Arlington Heights). "Expanding what is covered by insurance will allow more individuals to get the devices they need to regain mobility and participate in the activities they enjoy."

The legislation amends the Illinois Insurance Code to provide that any enrollee, regardless of age, will be covered for the most appropriate model determined by a medical provider in order to maximize the recipient's overall health and strengthen their limb function.

While accident and health insurance plans are required to cover prosthetic and orthotic devices when they are deemed medically necessary, this law expands the definition of what is considered medically necessary to include physical activities like running, biking, swimming and weight lifting.

Senate Bill 2195 will go into effect Jan. 1, 2025.

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Original text here: https://www.illinoissenatedemocrats.com/caucus-news/29-senator-ann-gillespie-news/5140-gillespie-expands-coverage-for-prosthetic-and-orthotic-devices