An Act amending the act of May 17, 1921 (P.L.682, No.284), known as The Insurance Company Law of 1921, in casualty insurance, providing for reimbursement for custom-fabricated devices or custom-fitted devices.
This bill requires health insurance policies in Pennsylvania to cover custom-fabricated and custom-fitted devices, such as prosthetics and orthotics, when prescribed by a licensed healthcare provider. Coverage is granted if a doctor determines the device is medically necessary for daily living, physical activities, or improving limb function, while excluding costs resulting from patient negligence or misuse. Insurers may still require prior authorization and can limit coverage to services provided by contracted vendors or designated suppliers, and standard deductibles and copayments remain applicable. The law specifically applies to health insurance plans but excludes accident-only, dental, vision, Medicare supplement, and other limited-benefit policies.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jun 2024
Committee Review
Floor Vote
Governor
Introduced Jun 10, 2024
Last action Jun 10, 2024
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
1
Key actions
0
Committee
1
Jun 10, 2024
Committee
Referred to Insurance
lower
1 primary · 13 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Christina Sappey
DDemocratic
Co
Bob Freeman
DDemocratic
Co
Carol Hill-Evans
DDemocratic
Co
Chris Pielli
DDemocratic
Co
Danielle Otten
DDemocratic
Co
Justin Fleming
DDemocratic
Co
Kristine Howard
DDemocratic
Co
Liz Hanbidge
DDemocratic
Co
Mark Rozzi
DDemocratic
Co
Maureen Madden
DDemocratic
Co
Scott Conklin
DDemocratic
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