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Mandatory Private Insurance Coverage for Auditory Implants and Hearing Devices.

Ally's Act mandates that private health insurance plans must cover auditory implants, external sound processors, and related services like surgery and rehabilitation. This ensures that individuals needing these devices receive coverage, including necessary maintenance and upgrades every five years. Insurers cannot deny coverage based on internal medical necessity reviews, and patient out-of-pocket costs must align with general medical benefits.
Key points
Private health plans (group and individual) must mandatorily cover auditory implant devices (like cochlear implants) and external sound processors.
Coverage must include maintenance, repair, and the upgrade or replacement of devices at least every 5 years.
Patient cost-sharing (e.g., deductibles, copays) for these benefits cannot be more restrictive than those applied to most other medical and surgical benefits.
Insurers are prohibited from denying or limiting coverage based on their own review of the 'medical necessity' of the device or service.
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Additional Information
Print number: 118_S_1135
Sponsor: Sen. Capito, Shelley Moore [R-WV]
Process start date: 2023-03-30
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Summarized by: gemini-2.5-flash-preview-09-2025
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

Ally’s Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_S_1135.

Which chamber initiated this legislation?

This legislation was initiated in the Senate.

When did the legislative process begin?

The process officially started on 2023-03-30.

What are the main provisions?

Key points include:

  • Private health plans (group and individual) must mandatorily cover auditory implant devices (like cochlear implants) and external sound processors.
  • Coverage must include maintenance, repair, and the upgrade or replacement of devices at least every 5 years.
  • Patient cost-sharing (e.g., deductibles, copays) for these benefits cannot be more restrictive than those applied to most other medical and surgical benefits.
  • Insurers are prohibited from denying or limiting coverage based on their own review of the 'medical necessity' of the device or service.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Sen. Capito, Shelley Moore [R-WV].

What is the latest detailed status?

The latest detailed status is: Introduced in Senate

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-26.

CATEGORIES

Health