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In conjunction with the Amputee Coalition of America which represents over 2 million amputees, the Limbs of Love organization is calling for State legislation requiring health insurance companies to cover prosthetic care on par with other essential medical care. Even though eleven states have passed bills providing coverage and legislation is pending in 30 other states for prosthetic care, a bill almost passed in Texas in 2007, but was tabled. The bill will be introduced again in 2009. An opinion from the Texas Legislative Budget Board showed promise in 2007, when John S. Obrien, Director of the Texas Legislative Budget Board stated, “there is no fiscal implication to the state, there is a cost savings to the state” in regards to Prosthetic Parity. Hundreds of Texans each year who face the trauma of limb loss also face additional shock when they discover that their insurance company will not pay for the prosthetic limb that will enable them to return to an active and productive lifestyle. A solution to this problem is state legislation requiring health insurers to provide adequate coverage for prosthetic care and eliminate any distinctions between prosthetic care and other essential medical care covered by their policies. “It’s a sad situation when a health insurance plan, whose ever-increasing premiums have been paid for years by individuals and their employers, forces its members to rely on community fundraising, and charities such as Limbs of Love to pay for prosthetic care for themselves of their children,” says Joe Sansone founder of Limbs of Love. For less than 25 cents per month in health insurance premiums, amputees will get the care they need to get back to work and live independent, productive lives. The cost to the healthcare system if this is not done far exceeds that of providing prosthetic care, and places a huge burden on society.
=================================================================== DVOCACY NEWS: Federal Prosthetic Coverage Bill Introduced FOR IMMEDIATE RELEASE MEANINGFUL HEALTH INSURANCE COVERAGE FOR PROSTHETIC CARE CALLED FOR BY AMPUTEE COALITION OF AMERICA Amputee Coalition Supports Federal Legislation Requiring Health Insurers to Cover Prosthetic Care As They Do Other Essential Medical Care Knoxville, TN, (March 17, 2008)—In the face of drastically reduced health insurance coverage for prosthetic care, the largest national non-profit educational and advocacy organization representing nearly two million amputees is calling for federal legislation requiring health insurance companies to cover prosthetic care on par with other essential medical care. A bill creating the Prosthetic Parity Act, HR 5615, has been introduced in the House.
"The introduction in the House of Representatives of the Prosthetic Parity Act is a tremendous positive development. Many of the two million amputees in the US are deprived of meaningful coverage for prosthetic care by their health insurers, which potentially places a greater burden on society. This proposed legislation would require health insurers to cover prosthetic care on par with their coverage of other essential medical care." "Increasingly we've seen health insurers drastically limit coverage for prosthetic care by imposing unrealistically low dollar caps and restrictions, even limiting coverage to one prosthesis 'per lifetime,'" said Paddy Rossbach, President and CEO of the Amputee Coalition of America. "A solution to this problem is federal legislation requiring health insurers to provide meaningful coverage for prosthetic care and eliminate any distinctions between prosthetic care and other essential medical care covered by their policies," said Ms. Rossbach. "Federal legislation is needed to close the insurance coverage gap," she said. "Individuals who have undergone an amputation of an arm, leg, hand or foot, and children born with limb loss or difference, face many obstacles in their recovery and in their daily routines. Not being able to pay for limb replacement needed to attend school, return to work and lead independent, productive lives shouldn't be among them," said Ms. Rossbach. "Thousands of people who face the trauma of limb loss also face additional shock when they discover that their insurance company will not pay for the prosthetic limb that will enable them to return to an active and productive lifestyle, support their families and contribute to society, rather than burden it," said Ms. Rossbach. "It's a sad situation when a health insurance plan, whose ever-increasing premiums have been paid for years by individuals and their employers, forces its members to rely on community fundraising bake sales and other sources of charity to pay for prosthetic care for themselves or their children or other family members," said Ms. Rossbach. There are an estimated two million individuals living with limb differences or loss in the United States, including 70,000 under the age of 18. According to a recent poll by the Amputee Coalition, among respondents with private health insurance, 24 percent had experienced a reduction in prosthetic coverage over the past three years. Four percent had their coverage eliminated entirely. "When individuals discover that prosthetic care is not covered by their health insurer, or it is extremely limited, they may have to resort to using retirement funds or children's college savings to purchase the prosthesis they need," Ms. Rossbach said. "Some individuals in this situation have even taken mortgages out on their homes to get the prosthesis they need." "For less than 25 cents per month in health insurance premiums, amputees will get the care they need to get back to work and live independent, productive lives. The cost to the healthcare system if this is not done far exceeds that of providing prosthetic care, and places a huge burden on society," said Ms. Rossbach. "Congressmen on both sides of the aisle are working with the Amputee Coalition and other advocates on such legislation," said Ms. Rossbach, " including Representative Robert Andrews (D-NJ), Representatives George Miller (D-CA), Todd Platts (R-PA), Mario Diaz-Balart(R-FL), and Lincoln Diaz-Balart (R-FL). The Amputee Coalition has taken the lead and serves as the standard bearer for the campaign for federal legislation requiring meaningful insurance coverage for prosthetic care. Ms. Rossbach sees momentum for federal parity legislation created by laws recently passed in nine states, and pending in 31 others, requiring health insurers to provide meaningful coverage of prosthetic care. In 2000 Colorado was the first state to pass such a law. Indiana is the latest state to pass prosthetic parity legislation earlier this year. "Continued focus on state bills is essential. It helps the states achieve insurance parity while providing additional awareness and support for federal legislation," said Ms. Rossbach. ### For more information contact: Joe Sansone at (713) 669-1800 or This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
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