3.0.0 3223 2023-01-11T13:15:58Z 2023-01-11T13:15:58Z Senate S S 2010-04-19 111 sshr00 Health, Education, Labor, and Pensions Committee Senate Standing Referred to 2010-04-19T18:44:35Z Prosthetic and Custom Orthotic Parity Act of 2009 111 2575 HR 2009-10-22 Referred to the Subcommittee on Health, Employment, Labor, and Pensions. Related bill CRS Prosthetics and Custom Orthotics Parity Act of 2010 111 3220 S 2010-04-15 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. Identical bill CRS 2010-04-19 sshr00 Health, Education, Labor, and Pensions Committee Senate Read twice and referred to the Committee on Health, Education, Labor, and Pensions. IntroReferral 2010-04-19 Introduced in Senate IntroReferral 10000 9 Library of Congress S000663 Sen. Snowe, Olympia J. [R-ME] Olympia Snowe R ME J. N H000206 Sen. Harkin, Tom [D-IA] THOMAS HARKIN D IA RICHARD 2010-04-19 True C001070 Sen. Casey, Robert P., Jr. [D-PA] Bob Casey D PA 2010-05-20 False B000382 Sen. Bennett, Robert F. [R-UT] ROBERT BENNETT R UT F. 2010-05-26 False Health Congressional oversight Employee benefits and pensions Government studies and investigations Health care costs and insurance Health care coverage and access Health technology, devices, supplies Health 00 2010-04-19 Introduced in Senate 2010-07-08T20:00:55Z Prosthetics and Custom Orthotics Parity Act of 2010 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) and the Public Health Service Act to require a group health plan that provides medical and surgical benefits and also provides benefits for prosthetics and custom orthotics to offer such prosthetics and custom orthotics in the same manner as applicable to medical and surgical benefits. Prohibits separate financial requirements or more restrictive treatment limitations. Requires a health plan that does not provide coverage for benefits outside of a network to ensure that such provider network is adequate to ensure enrollee access to prosthetic and custom orthotic devices and related services provided by appropriately credentialed practitioners and accredited suppliers.

Limits coverage for required benefits for prosthetics and custom orthotics to the most appropriate device or component that adequately meets the medical requirements of the patient. Requires benefits to include repair and replacement due to normal wear and tear, irreparable damage, a change in the condition of the patient, or as otherwise determined appropriate by the treating physician.

Prohibits any annual or lifetime dollar limitation on benefits for prosthetics and custom orthotics unless such limitation applies in the aggregate to all benefits.

Directs the Comptroller General to study the effects of the implementation of this Act.

]]> Prosthetics and Custom Orthotics Parity Act of 2010 Display Title Prosthetics and Custom Orthotics Parity Act of 2010 Official Title as Introduced A bill to amend the Employee Retirement Income Security Act of 1974 and the Public Health Service Act to provide parity under group health plans and group health insurance coverage for the provision of benefits for prosthetics and custom orthotics and benefits for other medical and surgical services. Introduced in Senate IS Short Titles as Introduced Prosthetics and Custom Orthotics Parity Act of 2010 Introduced in Senate 2010-04-19T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-111s3223is/xml/BILLS-111s3223is.xml 2010-04-19 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. Congressional Research Service, Library of Congress This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.