So Mainers Can Move

Thanks to the tireless efforts of So Every BODY Can Move advocates, Maine children and youth living with limb loss and limb difference now have access to prosthetic care for physical activity and exercise! LD-1003 was signed into law on May 7, 2022 and went into effect on January 1, 2024. Help us get the word out and maximize the positive impact of this new law for children and youth with disabilities in Maine.

ENACTED

Maine LD-1003

Bill Number:

Status:

Enacted

Date Signed Into Law:

5/7/2022

Date Law Goes Into Effect:

1/1/2024

Insurance Plans Affected:

State Commercial Plans

Age Group:

0-17

Types of Devices Covered:

Prostheses

State Lead:

Jordan Simpson

Primary Bill Sponsors:

Representative Colleen Madigan

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Meet the
Lead Advocate Team

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Jordan Simpson

State Lead

Social Worker, Open Heart Advocates

Featured Image

Representative Colleen Madigan

Primary Bill Sponsor

At a Glance

Maine Statistics

Physical activity is one of the most important factors in maintaining overall health throughout one’s lifetime. Whether it’s vigorous exercise or simple day-to-day movement, being physically active increases strength and balance, improves mental health, supports better-quality sleep, and reduces the risk of disease and cancer for every body, including people with disabilities.

4.5X

Children with disabilities are 4.5 times less likely to engage in physical activity compared to their peers.

American College of Sports Medicine, Why We Must Prioritize Equitable Access to Physical Activity for Children with Disabilities

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1 in 2

50% of adults with disabilities get absolutely no aerobic physical activity.

Centers for Disease Control and Prevention (CDC), Inactivity Related to Chronic Disease in Adults with Disabilities

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2X

Adults and children with mobility limitations are at greatest risk for obesity and the prevalence of obesity in children with disabilities is almost twice that of children without disabilities.

Centers for Disease Control and Prevention (CDC), Disability and Obesity

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60 / 150 Mins

The U.S. Department of Health and Human Services’ Physical Activity Guidelines for Americans recommends children with disabilities get 60 or more minutes each day of moderate or vigorous intensity aerobic physical activity; for adults with disabilities, the recommendation is 150 minutes weekly.

U.S. Department of Health and Human Services, Physical Activity Guidelines for Americans, 2nd Edition

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$44 Billion

Annual health care costs of obesity that are related to disability are estimated at approximately $44 billion.

Centers for Disease Control and Prevention (CDC), Disability and Obesity

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“F”

According to the 2022 U.S. Report Card on Physical Activity for Children and Youth, the U.S. received an “F” grade for children with disabilities, with less than 17.5% meeting the recommended daily physical activity.

Physical Activity Alliance, The 2022 United States Report Card on Physical Activity for Children and Youth

Click Here

Prior to the enactment of LD-1003, the majority of Maine children and youth with limb loss, limb difference, and mobility impairment faced difficulties in obtaining affordable and accessible prosthetic and orthotic care for physical activities and exercise because state, federal, and private health plans deem this care “not medically necessary.”

Without health plan coverage, adults, children, and families are forced to:

  • Incur prohibitive out-of-pocket costs (ranging from $5,000 -$50,000)
  • Risk harm/injury using an improper device
  • Live socially isolated and sedentary lifestyles with costly health complications including obesity and depression

LD-1003 will now ensure Maine children and youth with disabilities that are covered by state-regulated commercial insurance plans have access to all facets of society including physical activity and exercise through coverage of recreational prostheses. Help us get the word out and maximize the positive impact of this new law for the disability community in Maine!

Background Element 1 Background Element 2

What does LD-1003 do?

This bill amends Maine’s previous prosthetic coverage law (enacted in 2003) so state commercial insurance plans are required to cover an additional prosthetic device necessary for physical activity for youth under 18.

How LD-1003 Benefits Maine

A Fiscal & Social Impact Report for Maine showed LD-1003 would result in a minimal increase to health insurance premiums (estimated at $0.01 – $0.12 PMPM). For such a small cost, the benefits are immeasurable. The report shared, “Putting more strain on a daily prosthetic may result in damage to the prosthetic device, resulting in more expense for insurance providers. In addition, this treatment may lower the costs of mental health related issues and treatment. Children who are unable to participate in social or leisure activities with their peers due to a lack of appropriate prosthetics might see a negative impact on their quality of life and may develop mental health issues as a result.”

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We believe movement is medicine and physical activity is a right, not a privilege. 

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