# Virginia HB216: Health insurance; coverage for prosthetic and custom orthotic devices and components, reports.

Virginia HB216, Health insurance; coverage for prosthetic and custom orthotic devices and components, reports., is a 2026 Regular Session House bill sponsored by Dan I. Helmer (Democratic); status failed, last action 2026-02-18 (Left in Labor and Commerce) (as of 2026-11-06).

- Canonical: https://policyrisk.com/state-bill/VA-HB216-2026
- As of: 2026-11-06
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Virginia HB216
- State: Virginia
- Session: 2026 Regular Session
- Title: Health insurance; coverage for prosthetic and custom orthotic devices and components, reports.
- Status: failed
- Chamber: House
- Introduced: 2026-01-07
- Last action: 2026-02-18, Left in Labor and Commerce
- Sponsor: Dan I. Helmer (Democratic)
- Cosponsors: 0
- Touches household money: no
- Roll calls: 1 (9 yes, 0 no in all)
- Economic provisions PRIA read: 0

## Summary

Health insurance; State Plan for Medical Assistance; coverage for prosthetic and custom orthotic devices and components; reports. Amends provisions related to health insurance coverage for prosthetic devices and components to include custom orthotic devices and components. Under the bill, such coverage does not include repair and replacement due to theft or loss and may include more than one prosthetic or custom orthotic device when medically necessary, as determined by an enrollee's provider. The bill prohibits an insurer from denying coverage for a prosthetic or custom orthotic device for an individual with limb loss, limb absence, or limb impairment that would otherwise be covered for a nondisabled individual seeking medical or surgical intervention. The bill requires health plans that provide such coverage to include language describing an enrollee's rights related to coverage for prosthetic and custom orthotic devices and provide a written explanation of any claim denials. The bill also directs the Department of Medical Assistance Services to seek the necessary permissions from the Centers for Medicare and Medicaid Services to provide payment of medical assistance for prosthetic and custom orthotic devices, subject to the same requirements as insurers. Such payment is conditional on the Department obtaining all necessary approvals and federal financial participation. The bill sunsets on July 1, 2027, if such approval and federal financial participation is not obtained. The bill directs the health insurance carriers, the Department of Medical Assistance Services, and any managed care plan administering Medicaid benefits in the Commonwealth to submit reports to the Health Insurance Reform Commission regarding implementation of the provisions of the bill during plan years 2027 and 2028.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Dan I. Helmer (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-01-20 | House | Subcommittee recommends laying on the table | pass | 9 | 0 |   |

## Actions (5)

- 2026-02-18: Left in Labor and Commerce (House)
- 2026-01-20: Subcommittee recommends laying on the table (9-Y 0-N) (House)
- 2026-01-15: Assigned HCL sub: Subcommittee #1 (House)
- 2026-01-07: Referred to Committee on Labor and Commerce (House)
- 2026-01-07: Prefiled and ordered printed; Offered 01-14-2026 26104550D (House)

## Bill text

- Introduced, 2026-01-07: [HTML](https://lis.blob.core.windows.net/files/1083128.HTML), [PDF](https://lis.blob.core.windows.net/files/1083127.PDF)

## Related bills

- HB20: Minimum wage; farm laborers or farm employees, temporary foreign workers. (signed)
- HB5: Employment; paid sick leave, civil penalties. (signed)
- SB199: Employment; paid sick leave, civil penalties. (signed)
- HB95: Va. Residential Landlord and Tenant Act; landlord remedies, noncompliance with rental agreement. (signed)
- HB1393: Electric utilities; pilot program for energy assistance and weatherization for certain individuals. (signed)
- HB834: Virginia Residential Landlord and Tenant Act; fire or casualty damage, termination by landlord. (signed)

## Sources
- [Introduced (HTML)](https://lis.blob.core.windows.net/files/1083128.HTML)
- [Introduced (PDF)](https://lis.blob.core.windows.net/files/1083127.PDF)

## Related
- [HB20: Minimum wage; farm laborers or farm employees, temporary foreign workers.](https://policyrisk.com/state-bill/VA-HB20-2026)
- [HB5: Employment; paid sick leave, civil penalties.](https://policyrisk.com/state-bill/VA-HB5-2026)
- [SB199: Employment; paid sick leave, civil penalties.](https://policyrisk.com/state-bill/VA-SB199-2026)
- [HB95: Va. Residential Landlord and Tenant Act; landlord remedies, noncompliance with…](https://policyrisk.com/state-bill/VA-HB95-2026)
- [HB1393: Electric utilities; pilot program for energy assistance and weatherization for…](https://policyrisk.com/state-bill/VA-HB1393-2026)
- [HB834: Virginia Residential Landlord and Tenant Act; fire or casualty damage, terminat…](https://policyrisk.com/state-bill/VA-HB834-2026)
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- [Virginia state hub](https://policyrisk.com/states/virginia)
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Source: PRIA, https://policyrisk.com/state-bill/VA-HB216-2026 (as of 2026-11-06).