Letter to Prosthetists and Prosthetic Companies in MO

The following fundraising letter to Certified Prosthetists and Prosthetic Companies in Missouri was sent out Tuesday. I will be following up in the week to come.

[An alternative for those who wish to donate but cannot afford to give the recommended $250 or $2,000 for a company would be to pledge to raise the same amount. Prosthetists could raise $25 from ten friends or host an informational coffee night at their home. Prosthetic companies could host an open house and invite local doctors, therapists, politicians, and friends.]

Last year, the Missouri Coalition for People with Limb Loss (MCPLL) began its efforts to make sure your hard-working patients get the health insurance coverage they deserve. Now, we are asking for your help to guarantee that their voices get heard in the 2009 Missouri General Assembly.

You know better than anyone how ordinary people are being taken advantage of. They never imagined they would become amputees, but they did know they had health insurance for a reason: they paid into a system they thought would take care of them just in case a sudden trauma or unexpected diagnosis hit them out of the blue. You know that prosthetic coverage is not an unnecessary peripheral benefit, an extra, an add-on, or a luxury. Artificial arms and legs are the very things that health insurance exists to cover, because without them people cannot complete their rehabilitation from injury and amputation, and they cannot go back to work or lead an active, healthy lifestyle.

Prosthetic parity laws have now been enacted in eleven states, and all remaining thirty-nine states will file next year. Here in Missouri, we’ve already been through one trial run. During 2008 we learned the ropes, hired a fantastic lobbyist, testified at two hearings, and saw our bill pass out of the Senate Health Insurance Committee.

Now it’s time for everyone across the Show-Me State who genuinely cares about this issue to get involved. We are asking you to give $250 and for your company to give $2,000; check can be made payable to “Missouri Coalition for People with Limb Loss.” Every little bit helps, but these ballpark figures will help us reach our goal of $70,000 by January 1, 2009. Already we have more than 10% raised, and more has been pledged! These funds will go toward paying our lobbyist, Kent Gaines, as well as paying for letter-writing campaigns, publication of brochures and flyers, and trips to Jefferson City so that real amputees can meet with legislators. In the coming weeks, I will be contacting you to see if you are ready to join us in this cause.

Best wishes for your business and for the health of your patients,

Bill McLellan
Fundraising Chair
Missouri Coalition for People with Limb Loss
314-779-4641

Lacy Clay Supports Federal Prosthetic Parity Bill

U.S. Representative from St. Louis Wm. Lacy Clay supports the Federal Prosthetic Parity Bill and will even sign on as a co-sponsor, he told MCPLL Chair Jeff Damerall during the ACA's National Lobby Day in Washington D.C. last week.

Besides the oppressive 100 degree heat, Jeff and his wife had a fun time seeing the sights and meeting with law makers, including Missouri Senator Claire McCaskill and staffers for Senator Kit Bond.

A Leg for Louie (or Why South Carolina Needs a Parity Law...)

SUMMERVILLE, South Carolina — Amputee John Lewis loves volunteering for the Pine Ridge Fire Department, but charging into action on an old artificial leg can leave him weary and worn by the end of a call.

The prosthetic limb Lewis keeps in his fire boot is 15 years old, with a crack up the side and a knee socket that's falling apart. It rubs his shortened right leg raw over time.

"I ain't had to sit out any fires, but it's sure had me sore," said Lewis, who lost his leg in a motorcycle crash 29 years ago.

Lewis, 51, has another prosthetic limb for daily use, but that one has about five years of wear and tear on it. He's reluctant to take that one into a fire because his health insurance won't cover the cost of a new artificial leg. He figured he would have to make do.

That didn't sit right with his friend Angela Prosser. She figured if Lewis was willing to risk his life to help others, he should at least have a decent leg under him for support.

Prosser last week launched the "Leg for Louie" fundraising campaign to buy Lewis a new prosthetic limb. Models and prices vary, but she estimates that about $15,000 should get Lewis the leg he needs. "I think there will definitely will be an outpouring of support for something like that," she said.

The effort got a boost from North Charleston-based Floyd Brace Co., which offered to help cover about half of the cost of a new leg, Prosser said.

Larry Wiley, co-owner of the company, said he has known Lewis for years and considers him to be a true inspiration.

"Many who suffer limb loss look to others for safety and security. Louie dons his fire suit and his prosthetic leg and puts himself in harm's way to provide safety and security to our community," he said. "Truly amazing."

June 17, 2008 in Amputation | Permalink | Comments (0)

Summer BBQ and Washer Toss

The MCPLL will be holding a summer barbeque and washer toss August 9, from 4:00-8:00, at Des Peres Park near the corner of Manchester and Ballas Roads. The BBQ is one of two fundraisers we are hosting before the 2009 legislative session begins in January, and we hope to raise about $5,000 to help us get a prosthetic parity bill passed in MO.

Food and fun are free to the public, but donations are greatly appreciated!

Amputees fight caps in coverage for prosthetics

By DAVE GRAM
Associated Press Writer

SOUTH BURLINGTON, Vt. (AP) -- After bone cancer forced the amputation of her right leg below the knee, Eileen Casey got even more bad news: Her insurer told her that she had spent her $10,000 lifetime coverage limit on her temporary limb and that the company wouldn't pay for a permanent one.

"It was shocking to find out I was going to have to take out a loan to buy myself a leg so I could keep working and living independently," Casey said. At the bank, she said, she burst into tears when they asked what the loan was for.

Since then, Casey has joined a nationwide fight by amputees and the prosthetics industry to get the states and Congress to require fuller coverage for artificial limbs. The insurance industry is fighting the effort, saying such mandates drive up costs and reduce the flexibility customers want.

"The cumulative effect of several mandates can price employers out of the market altogether," said Mohit Ghose, who was a spokesman for America's Health Insurance Plans, an industry lobbying group, when he was interviewed recently for this story. He left the organization three weeks ago.

Vermont Gov. Jim Douglas recently signed into law a bill making Vermont the 10th state to require insurance companies to cover prosthetics as fully as they do other medical procedures. A similar measure is pending in Congress.

These laws say that if an insurance policy covers, say, 80 percent of the cost of any other medical procedure - whether a doctor's office visit or open-heart surgery - it must do the same for prosthetic limbs.

Just under 2 million Americans have lost a limb, with the largest number of amputations due to diabetes, said Paddy Rossbach, president and chief executive of the Amputee Coalition of America.

Simple prosthetic limbs range in cost from about $3,000 to $15,000. Those that are more mechanically advanced, or come with embedded computer chips, can cost up to $40,000. Expenses can grow further because many patients need new artificial limbs or sockets when the stump to which the prosthetic arm or leg is attached shrinks or otherwise changes shape. This is especially a problem in children.

While many private insurers have strict limits on the devices, government programs tend to be more generous. Medicare, the government health insurance program for the elderly, covers 80 percent of prosthetic costs and, unlike many private insurers, does not consider the more expensive mechanical or computerized limbs to be experimental.

The Veterans Affairs Department, which is seeing a growing number of amputees returning from Iraq and Afghanistan, provides prosthetic care without limits, said VA spokesman Terry Jemison. Anyone eligible for VA benefits - from a young soldier wounded in combat to an older veteran who has developed diabetes late in life - "will receive the latest in technology without limits on cost," Jemison said.

Rossbach argues that the health insurance industry's talk of mandates driving up costs is overblown. She said studies in six states that have passed these laws showed that increased coverage for prosthetics had added 12 to 25 cents a month to the average insurance premium.

She added that insurance companies' slowness to cover prosthetics can increase other health care costs in the long run, because patients' immobility often leads to other ills.

"If people have a very sedentary life, then they are going to be at risk for secondary conditions - diabetes, obesity, depression, some forms of cancer," Rossbach said.

Still, mandates are not the answer, America's Health Insurance Plans argues.

"Mandates misallocate resources by requiring consumers - or their employers - to spend available funds on benefits that they would otherwise not purchase," it says on its Web site. "They also limit consumer choice by not allowing health insurance plans to make innovative and efficient products available to employers and individuals, including mandate-free policies."

Many health insurers lump prosthetics under the category of durable medical equipment, which includes less-expensive items such as crutches and back braces. Many people do not realize until it is too late that they have signed up for coverage limits that won't come close to paying for prosthetics, Rossbach said.

To Casey, who sells advertising for a Burlington-area TV station, the result seems arbitrary and unfair.

"If I had breast cancer and had a double mastectomy, they would cover breast reconstruction, yet I can't have a leg? This makes absolutely no sense," she said.

An Arm or a Leg is Not a Luxury!

An Arm or a Leg is Not a Luxury! - Upload a doc

Read this doc on Scribd: An Arm or a Leg is Not a Luxury!

Fundraiser Ideas

Morgan and Dan also had some good ideas about fundraising. They said what we have planned is great. We should definitely try to get some press and local business sponsorship (good PR with their name on a banner or T-Shirt) for our two large events, maybe even see if a radio station could promote it. Additionally, they said the best way to raise money from individuals is to have amputees or others affected by amputation host parties in their homes or businesses, invite their friends and personal contacts, and try to raise awareness and small amounts of money from each person.

Summer picnics, BBQs, cocktail parties, drop-ins, and pool parties at private residences, and open houses at a prosthetic facility or other place of business are all good ideas. It’s hard to ask friends you know for money, but they’re the ones who are most likely to give. And they said summer time is a great time to get press, since news is slow.

Mandated Offer or Mandated Coverage?

I just got off the phone with Dan and Morgan with the ACA, and they were incredibly helpful. First, on the mandated offer issue: they said that the issue really comes down to whether insurance companies right now are cutting coverage completely or just restricting coverage with caps. Since in Missouri they are using caps and other clauses, a mandated offer would do the trick for us. The Federal bill is actually a mandated offer, a compromise they made since it would take forever to get anything at all in some states.

Morgan recommended that we not compromise on individual policies; some are regulated on the Federal level because they are self-insured, but we should insist that any mandated offer legislation cover both group plans and all individual plans regulated at the state level. And, we should make sure that when prosthetic coverage is offered, that coverage is at the level of Medicare without caps or other restrictions. Our negotiating strategy going forward could be that we come back with this kind of proposal, rather than completely playing hardball and demanding mandated coverage. The downside is that, as Jean and Suzi pointed out last night, amputees who need to get individual coverage may still face a pre-existing condition exclusion.

I need to get them the names of key legislators we hope to move to our side of the issue. Morgan said that they can help us get some targeted press in that legislator’s district and maybe organize a meeting of our supporters in their district. This is sometimes especially difficult for rural districts, and they said they could help; so if you guys remember who might have been on-the-fence with the power to make the bill move, send me the name. Maybe Kent can help with this, too.

Any more ideas, let me know. Hope all this is helpful. And please let’s dialogue about the mandated offer/coverage issue; we may want to start out asking for coverage and then compromise later on an offer only if we have to.

Prosthetic Parity Bill Passes out of MO Senate Insurance Committee

Last week, the Senate Insurance Committee voted to pass a prosthetic parity bill that would force health insurance providers to offer uncapped prosthetic coverage to employers and individuals. Now it needs to pass in the full Senate, the House Special Committee on Health Insurance, and the full House before going to Governor Bond for a signature.

Prosthetic Parity Hearings a Huge Success!

Members of the Limb Loss Coalition and amputees from across the great state of Missouri showed up in Jefferson City Tuesday to support the Prosthetic Parity Bill before House and Senate Committees.

Around 2:00 p.m., four witnesses testified before the Senate Small Business and Insurance Committee, chaired by Senator Lowden. Dr. John Rush, Medical Director for Hanger Orthopedic and a national expert on prosthetic parity, flew in to testify on many of the more technical issues. Then Mark Wilson, President of Prosthetic and Orthotic Design, Inc., in St. Louis testified that as a small business owner, he was not given the option of purchasing health insurance that did not include ridiculously low caps on prosthetic coverage. Next, Jeff Damerral, Chairman of the Missouri Coalition for People with Limb Loss, testified about his personal experience loosing both his legs below the knee to meningitis while a freshman at Truman State University. Damerral said that while he had good insurance through his father at the time, he is fighting for everyone who doesn't. Now that he is on his own and working as a lawyer for a small firm, Damerral must pay approximately $16,000 every 3-5 years to have his two legs replaced. Finally, AK amputee and Secretary of the Coalition Jean Freeman brought the whole room to the verge of tears, telling how caps on her prosthetic coverage force her to hope that the various parts of her prosthesis don't wear out at once. "As an amputee, I am being discriminated against," she said.

Several registered lobbyists for the insurance companies spoke briefly against the bill, saying they opposed prosthetic parity for the same reason they have always opposed every other "mandate" the state has passed, such as those insuring coverage for mental health, women's health screenings, and wigs for children with cancer. They believe on principle that policies should be able to exclude coverage for any condition, provided that policy can be sold to a customer or employer. On being questioned by Senator Day, one gentleman did not know that some plans include once-in-a-lifetime clauses for prosthetic devices. "Do you mean that a person is expected to wear the same leg at 18 months as 18 years?" she asked incredulously. "I'll have to get back to you with that information," he replied.

The hearing in the house began around 7:00 p.m., and since it was after business hours, many more supporters showed up. The bill sponsor, Rep. Dr. Wayne Cooper, introduced it to the committee, and Dr. Rush, Jeff, and Jean testified again. This time Jon Wilson, Clinical Director of Prosthetic and Orthotic Care, Inc., represented the state's prosthetists. "Surgeons often ask me to speak with patients before they loose their limbs, often to convince them that it's worth an amputation to save their life. I tell them I can help them walk again," Wilson said. "But later, when they're ready for the prosthesis, I have to be the one to tell them that their insurance won't pay for it. When they need health insurance the most, it isn't there."

Wrapping things up was Bill Brannan. He told how good health insurance has enabled him to live a productive life for ten years since he lost his leg at age 65; but he also told about meeting a young mother in a grocery store, juggling her kids and her cart and trying to get along in a wheelchair because her husband's insurance would not pay for her to get a prosthesis. The fine individuals who had to get up and represent the insurance companies after Bill sat down seemed like they were just going through the motions, stating rather plainly that they always oppose mandates, even inexpensive ones that seem to make all the sense in the world like ours does.

The representatives seemed to understand our case, and members from both parties told us the hearing had gone extremely well. It's always dangerous to get over confident, but here is what Dr. Rush thought comparing the parity effort in Missouri with other states where he has testified: he said that whereas elsewhere most of the real work gets done behind the scenes and hearings are just window dressing, we could have actually won our case in one day on hearings alone! We'll wait and see just where things go from here.

Pre-Hearing Headquarters

Hello everyone,

I'm fairly new to the efforts of the coalition and would like to thanks all those who have been pushing for this equality. I am currently contacting as many patients as possible in the Mid-Missouri area to attend the hearing. Currently I understand from the HB2100 site that the hearing is at 5 PM in hearing room 5 on the first of April. Everyone is welcome to meet at my office in Jefferson City for staging or car pooling to the capitol which is approximately 5-10 minutes away. I am located at 2525a Missouri Blvd. Jefferson City, MO 65109 PH: 573-636-9611. I believe after spending time with some of the group members up at the capital having an outpouring of support and representation will be extremely vital.

Tracy Duncan Ell C.P.

Mid-MO Orthotics & Prosthetics
Jefferson City, Columbia, Lake of the Ozarks

We Got a Hearing! This is No April Fools!

There is a hearing for our Bill 2100 scheduled for the afternoon of April 1 before the House Committee on Health Insurance. It will be held at the Capitol Building in Jefferson City, MO. Below are the notices posted on the MO House website:

http://www.house.mo.gov/content.aspx?info=/bills081/hearings.htm

http://www.house.mo.gov/billtracking/bills081/bills/hb2100.htm

All amputees in the state of MO and anyone else concerned about this important issue are urged to attend! When you get to the Capitol Building, go to Hearing Room 5.

An Amputee's Experience

Wall Street Journal Covers Prosthetic Parity Issue

March 11, 2008


Insurers Pressed To Pay More For Prostheses

By VANESSA FUHRMANS March 11, 2008; Page D1

Big advances in technology have raised the costs of prosthetic limbs, and that has made them a target for cutbacks in health-care coverage.

Many private health plans cap prosthesis coverage at $2,500 or $5,000 a year, or pay for just one device per limb in a lifetime, sometimes even for a growing child. The most basic devices can cost between $3,000 and $15,000, while mechanically advanced or computer-assisted models can cost up to $40,000.

Now, amputees and prosthetic-device makers are pushing state legislatures around the country to pass laws that mandate prosthesis coverage. The goal is to force private health plans to offer coverage comparable to that provided by Medicare, which pays at least 80% of the cost of prostheses and allows regular replacement of artificial limbs. Health insurers oppose such mandates, saying they reduce consumer choice and drive up costs.

Prosthetic devices are among the biggest-ticket items affected by the growing effort of insurers and employers to curb rising health costs by asking patients to pay a bigger percentage of their medical bills. For people who need artificial limbs, the receding coverage can mean paying tens of thousands of dollars to fill the gap.

Sometimes, cuts in prosthetic coverage are tucked into a health plan's fine print, and employers and workers might not be aware of coverage limits. In plan benefit summaries, health insurers increasingly lump prostheses with durable medical equipment -- a catchall category that also includes crutches, wheelchairs and other less expensive items. So accepting a $2,500 cap on such equipment in exchange for a lower premium increase might seem like a reasonable deal, until the employer or employee realizes that the cap counts toward costly prosthetic limbs as well.

Until two years ago, Caitlin Palmer's below-the-knee prosthesis was covered at 100% through her father's health plan. Caitlin, whose leg was amputated shortly after birth due to a defect, is now a 14 year old in her school's color guard who is still growing. She's already gone through 10 prostheses, even though the family had stretched the life of a few "with duct tape," her mother, Michele Palmer, says.

But when the Palmers submitted a claim for a recent repair, they discovered that the plan, insured by Independence Blue Cross, now paid only 50% or 75%, depending on whether the work was done by an in- or out-of-network prosthetist.

A spokeswoman for Independence said Mr. Palmer's employer, a municipal township in eastern Pennsylvania, had switched to a plan with a lower premium increase, but more employee cost-sharing. When Mr. Palmer told his employer about the change, "they were so upset for him. They didn't realize," Mrs. Palmer says, adding that she worries how the family can afford its share of future prostheses.

So far, eight states have passed laws mandating prosthetic coverage comparable to that offered by Medicare. Among the earliest such laws, California, Massachusetts and Rhode Island passed theirs in 2006, while New Jersey enacted legislation in January. Similar legislation has been under consideration recently in 27 other states, but faces stiff resistance in some places.

Unlike many private insurers, Medicare doesn't consider more expensive computer-assisted artificial limbs as "experimental" and covers them, too. The government health-care program for the elderly also generally allows replacement of prostheses every five years.

Health insurers say mandated coverage denies consumers and small employers the option to buy less expensive plans without benefits they may not want or need. "The issue isn't the merits of any single mandate," says Mohit Ghose, a spokesman for insurance lobby America's Health Insurance Plans. "It's what mandates collectively do to the affordability of health insurance."
Proponents of mandates say the added coverage would cost just pennies in monthly premium increases, given that there are fewer than two million Americans living without a limb. Equipping amputees with an artificial leg or arm that keeps them active and productive, they say, also prevents other medical costs and complications, such as back problems or obesity.

"You'd think that there isn't anything more basic than making sure someone has an arm and leg," says Keith Molinari, who found his private health insurance covered only a fraction of a basic prosthesis when his 10-year-old son, Chase, lost his leg to cancer as an infant. The Molinaris, in Roscoe, N.Y., made what they say was an emotionally difficult decision to have their son, who outgrows his artificial legs nearly every year, declared disabled so he would qualify for Medicaid, the joint state/federal program for the poor. Mr. Molinari has since changed jobs and now is enrolled in a plan that provides adequate coverage for prostheses.

The Amputee Coalition of America, an advocacy group backed by both prosthesis makers and individual amputees, has launched a campaign to introduce a bill in Congress. A big backer of the effort is Hanger Orthopedic Group Inc., the biggest player in the $2.5 billion U.S. prosthetics market. The coalition plans to enlist amputated Iraq war veterans -- many of whom have state-of-the-art prostheses through veterans' benefits -- to help make the case.

Amputee advocates face an uphill battle in some states. Five years ago, a grassroots effort in Virginia succeeded in getting a bill introduced but then stalled at the level of an advisory commission. More recently, Virginia Prosthetics Inc., the state's biggest prosthesis maker, spearheaded a more organized campaign, hiring consultants and at one point last fall chartering a bus to bring nearly four dozen patients and family members to testify before state legislators.
The emotional testimony helped the proposal pass out of the commission and two committees. But the state senate shelved the bill last month. According to state estimates, the additional coverage would have raised consumers' monthly premiums on average less than 25 cents a month.

Reginald Jones, an attorney representing the Virginia Association of Health Plans, says small businesses bear the brunt of the cost of state insurance mandates, because most large-employer health plans are governed by federal law. "There's a tradeoff," Mr. Jones says. "It's probably more important to have more people insured with basic coverage and fewer uninsured, than a few people insured with a lot of coverage."

Write to Vanessa Fuhrmans at vanessa.fuhrmans@wsj.com

Prosthetic Parity Action Alert

On behalf of the Missouri Coalition for People with Limb Loss, I am excited to let you know that House Bill 2100 has been referred to the Special Committee on Health Insurance. This bill requires health insurance companies that claim to cover prosthetics to pay Medicare allowable rates without capping coverage at ridiculously low levels.

Real prosthetic parity is within our grasp! If we can get a hearing scheduled, we can all go to Jefferson City, drum up some publicity, and make our case before our legislators in public. Otherwise, our effort will fail this time around. It is absolutely necessary that as many Missourians as possible contact the committee chair, Rep. Wilson, as well as your own legislators, and ask for a hearing! Here is some information to make that easier for you to do right away. Please, take the time to stop what you’re doing and make just one or two phone calls or e-mails. What you do will make a difference!

Representative Kevin Wilson, Chair, Special Committee on Health Insurance
Home Zip: 64850; Counties: McDonald, Newton; District 130
Capitol Phone: 573-751-9781
E-mail: Kevin.Wilson@house.mo.gov

Everyone, please call and/or e-mail Rep. Wilson and say:
Please grant a Hearing for House Bill 2100 concerning prosthetic parity.

If you would like to say more, here are three quick talking points you can include in a phone call or cut-and-paste into an e-mail:

1. Employers, working Missourians, and amputees are being deceived into thinking that prosthetics are covered in their policies when, in fact, payment is capped at less than one-fourth to one-half the cost.
2. Some working-age amputees have found it better to get on Medicaid or Disability instead of returning to their jobs because coverage is better than with private insurance.
3. The cost of prosthetic parity laws on private health insurance is somewhere between 12 and 25 cents per member per month, or less than $3.00 per year.

Also, include any personal information, especially if you are an amputee or have been affected by insurance caps on prosthetic coverage.

If any of you or your patients or friends live in Rep. Wilson’s district, please get them involved!

Here is a list of all the members of the insurance committee. By clicking on their name you can immediately send them an e-mail.

Wilson, Kevin, Chair
Kraus, Will, Vice Chair
Bland, Craig C.
Grill, Jason
Hubbard, Rodney R.
Kratky, Michele
Pollock, Darrell
Portwood, Dr. Charles R.
Sander, Therese
Sater, David

Please check and see if your legislator is on this list, either by clicking on their name or by looking up your rep here: http://www.senate.mo.gov/llookup/leg_lookup.aspx . You can send an e-mail or make a phone call and say the same things listed above for Rep. Wilson. Once we get a hearing, we can go from there.

Thank you for your participation in this worthy cause. Feel free to forward this blog post to anyone, especially other amputees, whom you think will want to get involved. For more information, continue to check our blog at http://molimbloss.blogspot.com/.

Va. Senate sends bill on prosthetics insurance back for study

Below is a brief news story from Virginia that shows a little of what we're up against.

Some small business folks (definitely not all) are under the impression that prosthetic parity will significantly increase their costs. In fact, the marginal cost increase of $0.10 to $0.25 per member per month will be greatly offset by amputees returning to work.

Plus, we believe that even if the cost-benefit analysis were not so clear cut, this is a justice issue the State of Missouri should deal with. Individuals and their employers who sign up for insurance policies that claim to cover prosthetics should actually get coverage that isn't capped at less than 25% of what a simple below-knee prosthesis costs. And a small slice of the population--amputees and potential amputees--should not be taken advantage of in order to reduce costs (ever so slightly) for everyone else.

By Kate Wiltrout The Virginian-Pilot© February 11, 2008
RICHMOND

The Senate today voted to shelve a bill that would have required insurance companies in Virginia to cover the expenses for prosthetic devices.

Sen. Patsy Ticer (D-Alexandria) sponsored SB 645, a bill she first proposed in 2006. The idea was sent to a joint legislative audit review commission, which recommended mandating prosthetics for patients who lose a limb or part of a limb. State and federal insurance plans already cover prosthetics, as does the military and Medicaid. But because high-tech limbs can cost upwards of $80,000, many private insurers cap their coverage at a level that makes it impossible for amputees to get replacement limbs recommended by their doctors.

"This benefit will not cause a single business to drop health care benefits for their employees," Ticer said before the vote. "This bill will keep some Virginians from turning to Medicaid, even if they have health insurance."

Sen. Frank Wagner (R-Virginia Beach) recommended sending the measure back to the Commerce and Labor Committee for further study next year. Wagner, a business owner, bemoaned the increasing costs of providing insurance to employees. The Senate voted 23-17 in favor of Wagner's motion

House Bill 2100!

True to his word, Rep. Cooper filed the prosthetic parity bill! Click here to read House Bill No. 2100 or here for updates on its progress.

It was read for the first time on February 12. It was read for the second time on the 13th. Rep. Cooper is listed as the sponsor and Rep. Avery as the co-sponsor.


Please call your State Representative and ask him or her to vote for House Bill 2100. We will let you know when a similar bill has been introduced in the Senate and when any hearings have been scheduled.

Super Tuesday!

On behalf of the Missouri Coalition for People with Limb Loss, I want to let you all know what a successful day we had in Jefferson City yesterday, February 5, 2008. For us, it really was a Super Tuesday! We found three Representatives enthusiastic about sponsoring our bill for prosthetic parity: Rep. Dr. Wayne Cooper (left), Rep. Jim Avery, and Rep. Rick Stream.

Dr. Cooper is the Chairman of the Health Policy Committee, and he committed to giving our bill a hearing. After lunch, we were able to also get the support of Senator Griesheimer, who will sponsor our bill and introduce it to his committee for small business and insurance.

At this point, our next step is to wait for the draft bill we gave Dr. Cooper to be drawn up with the right language. In the meantime, we need to start contacting amputees who might want to travel to Jefferson City for the hearing, whenever that is. Once we have a bill introduced and a hearing scheduled, we can begin to make phone calls and write lots and lots of letters to those Reps on the committee, hopefully from people in their district.

Next Trip to Jefferson City

Memebers of the Coalition will be going to Jefferson City again on Tuesday, February 5th. If you would like to come along and speak with legislators to tell your story or express your opinion, please contact Jeff Damerall at (314) 965-2255 (extension 17).