Wisconsin May Become the First to Force Insurers to Pay for Cochlear Implants for Severely Impaired Children

State leaders in Wisconsin may become the first in the United States to force private insurance companies to pay for cochlear implants for children who have severe hearing loss.

A bill passed the state Legislature this week that would require insurers to cover the costs of cochlear implants for people under age 18 with profound hearing problems. The same bill also would require coverage for hearing aids and related treatment.

While some states already require insurance companies to cover the costs of hearing aids, Wisconsin would be the first to force coverage of the more costly cochlear implants.

High Costs of Hearing Devices Noted

The high costs of cochlear implants, which can run up to $50,000, can prevent many families who do not have insurance coverage for the devices from buying them. The implants convert sound into electrical impulses that activate nerves in the ears, allowing the person to hear. The use of cochlear implants in hearing-impaired children is seen as critical to helping them develop language skills and lead more normal lives.

“This bill is going to allow children to keep their hearing, to become members of society, to go to school and keep a job,” said state Rep. David Cullen, D-Milwaukee.

Lawmakers Show Strong Support

The proposed law first passed the state’s Senate then earned state Assembly passage by an overwhelming 80-16 margin. Business groups and some Republican law makers opposed the measure, saying it would increase costs for small businesses already saddled with increasing health care costs. Analysts said putting a price tag on the proposed law is difficult and would vary by company.

Gov. Jim Doyle has promised to sign the measure into law when it reaches his desk.

Many Would Benefit From Coverage

About 1.6 million Wisconsin residents with private insurance would be affected by the bill. People covered by self-funded plans would not be covered by the law. Most government-funded plans, such as Medicaid, already cover the devices.

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