H.R. 4606: Ally’s Act
This bill, known as Ally's Act, aims to amend several existing laws related to health insurance to ensure broader coverage for hearing devices and associated services. Here is a breakdown of its key provisions:
Coverage Requirements
The bill requires that group health plans and health insurance issuers, whether for employers or for individual policyholders, must provide coverage for several specific items and services related to hearing devices. These include:
- Auditory implant devices, including cochlear implants and bone conduction implants.
- Maintenance and repair of these auditory devices.
- Upgrades or replacements of these devices every five years, if an upgrade is not available.
- Accompanying items like adhesive adapters and softband headbands.
- A comprehensive hearing assessment.
- Preoperative and postoperative assessments related to surgery for the devices.
- Aural rehabilitation and treatment services as deemed necessary by a medical professional.
Coverage Conditions
Any health plan providing coverage for these services must ensure that:
- The financial implications (like copayments or deductibles) for hearing devices are no more restrictive than those for general medical and surgical benefits.
- There aren’t separate treatment limits for hearing device services that are stricter than those for other covered benefits.
- If a qualified physician or audiologist deems the services medically necessary, the insurance cannot deny or limit coverage for those services.
Definitions
The bill also provides a definition for "qualifying individuals," specifying that they are those for whom a physician or qualified audiologist determines may benefit from the auditory devices mentioned in the bill.
Applicable Laws
The bill modifies the following laws to include the new coverage requirements:
- Public Health Service Act
- Employee Retirement Income Security Act (ERISA)
- Internal Revenue Code
- Patient Protection and Affordable Care Act
Effective Date
The changes proposed by this legislation would become effective for plan years starting on or after January 1, 2026.
Relevant Companies
- PHG (Royal Philips) - A major manufacturer of hearing aids and auditory implant devices, likely to see increased demand for its products under this expanded coverage.
- WSO (Walmart Inc.) - As a retailer that offers health services, Walmart may benefit from expanded coverage options and the sale of hearing devices.
- DEO (DeVry University) - Involved in audiology training and services, may see increased enrollment in programs due to a growing need for audiologists as coverage expands.
This is an AI-generated summary of the bill text. There may be mistakes.
Sponsors
81 bill sponsors
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TrackJoe Neguse
Sponsor
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TrackGabe Amo
Co-Sponsor
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TrackNanette Diaz Barragán
Co-Sponsor
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TrackJoyce Beatty
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TrackGus M. Bilirakis
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TrackRobert Bresnahan
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TrackNikki Budzinski
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TrackAndré Carson
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TrackTroy A. Carter
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TrackKathy Castor
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TrackJudy Chu
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TrackSteve Cohen
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TrackJ. Luis Correa
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TrackAngie Craig
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TrackJason Crow
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TrackSharice Davids
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TrackRosa L. DeLauro
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TrackSuzan K. DelBene
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TrackChristopher R. Deluzio
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TrackDebbie Dingell
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TrackLloyd Doggett
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TrackVeronica Escobar
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TrackDwight Evans
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TrackCleo Fields
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TrackBrian K. Fitzpatrick
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TrackValerie P. Foushee
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TrackMaxwell Frost
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TrackAndrew R. Garbarino
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TrackJimmy Gomez
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TrackJosh Gottheimer
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TrackGlenn Grothman
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TrackJosh Harder
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TrackChrissy Houlahan
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TrackJared Huffman
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TrackBrian Jack
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TrackHenry C. "Hank" Johnson, Jr.
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TrackRobin L. Kelly
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TrackRo Khanna
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TrackYoung Kim
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TrackMichael Lawler
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TrackTed Lieu
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TrackStephen F. Lynch
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TrackJohn Mannion
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TrackDoris O. Matsui
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TrackSarah McBride
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TrackApril McClain Delaney
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TrackBetty McCollum
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TrackJames P. McGovern
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TrackLaMonica McIver
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TrackRobert Menendez
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TrackJared Moskowitz
Co-Sponsor
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TrackKevin Mullin
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TrackDonald Norcross
Co-Sponsor
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TrackEleanor Holmes Norton
Co-Sponsor
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TrackJimmy Panetta
Co-Sponsor
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TrackBrittany Pettersen
Co-Sponsor
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TrackChellie Pingree
Co-Sponsor
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TrackMark Pocan
Co-Sponsor
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TrackDeborah K. Ross
Co-Sponsor
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TrackRaul Ruiz
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TrackJohn H. Rutherford
Co-Sponsor
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TrackPatrick Ryan
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TrackAndrea Salinas
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TrackJanice D. Schakowsky
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TrackKim Schrier
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TrackTerri A. Sewell
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TrackMikie Sherrill
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TrackGreg Stanton
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TrackThomas R. Suozzi
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TrackEric Swalwell
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TrackMark Takano
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TrackMike Thompson
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TrackRashida Tlaib
Co-Sponsor
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TrackJill N. Tokuda
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TrackPaul Tonko
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TrackJefferson Van Drew
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TrackMarc A. Veasey
Co-Sponsor
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TrackEugene Vindman
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TrackDebbie Wasserman Schultz
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TrackBonnie Watson Coleman
Co-Sponsor
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TrackGeorge Whitesides
Co-Sponsor
Actions
2 actions
| Date | Action |
|---|---|
| Jul. 22, 2025 | Introduced in House |
| Jul. 22, 2025 | Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. |
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