Ally’s Act
Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.
Summary
What This Bill Does
This bill requires private health coverage and employer-sponsored group health plans to cover hearing implant devices, related surgery, assessments, maintenance, upgrades, and rehabilitation for qualifying individuals, with parity-style limits on cost-sharing and treatment restrictions.
Who Benefits and How
Patients who need cochlear or other auditory implant systems could gain more reliable coverage for the devices, surgery, follow-up care, and related services.
Who Bears the Burden and How
Health plans and insurers would have to cover a broader set of hearing-related items and services and could not impose separate or more restrictive cost-sharing, treatment limits, or medical-necessity denials.
Key Provisions
- Requires minimum coverage for auditory implant devices, sound processors, assessments, surgery, follow-up visits, repairs, upgrades, and rehabilitation.
- Applies parity-style limits so plans cannot impose more restrictive financial or treatment limits than those used for medical and surgical benefits.
- Bars coverage denials when a physician or qualified audiologist finds the item or service medically necessary.
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers.
At a Glance
What This Bill Does
This bill requires private health coverage and employer-sponsored group health plans to cover hearing implant devices, related surgery, assessments, maintenance, upgrades, and rehabilitation for qualifying individuals, with parity-style limits on cost-sharing and treatment restrictions.
Key Policy Areas
Healthcare, Consumer Protection
Primary Purpose
This bill requires private health coverage and employer-sponsored group health plans to cover hearing implant devices, related surgery, assessments, maintenance, upgrades, and rehabilitation for qualifying individuals, with parity-style limits on cost-sharing and treatment restrictions.
Policy Domains
Main Provisions
Identified Gains
Contextual inference, no direct clause citation- Individuals needing medically necessary auditory implant devices and related hearing services
Contextual inference, no direct clause citation
Identified Costs
Contextual inference, no direct clause citation- Group health plans and health insurers required to cover the hearing devices and related services on parity terms
Contextual inference, no direct clause citation
Sponsors
Legislative Progress
In CommitteeMr. Curtis (for himself, Ms. Warren, Mrs. Capito, Mr. Hickenlooper, …
Read twice and referred to the Committee on Health, Education, …
Introduced in Senate
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
Group health plans and health insurers required to cover the hearing-device benefits, Patients needing auditory implant devices and related hearing services
Positive-direction: Patients needing auditory implant devices and related hearing services
Negative-direction: Group health plans and health insurers required to cover the hearing-device benefits
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology