This bill updates Pennsylvania's emergency medical services laws to clarify rules for patient transport and insurance coverage. It defines "receiving facilities" as places where patients need further medical assessment after an ambulance response and requires protocols for handling behavioral health and substance use crises before transport. The legislation also mandates that health insurers cover emergency service payments when patients are treated and transported to these designated facilities, while simultaneously removing an outdated regulation regarding covered services.
This resolution formally recognizes August 2026 as "National Breastfeeding Month" within the state of Pennsylvania. It serves as a symbolic gesture to raise awareness about the health benefits of breastfeeding for infants and mothers, citing recommendations from major medical organizations. The text does not alter any laws or create new programs, but rather acknowledges existing state protections and insurance coverage related to lactation support.
This bill creates a new tax credit for small businesses in Pennsylvania that help employees pay for health insurance. To qualify, a business must have 50 or fewer employees and contribute up to $1,000 per employee toward premiums for qualified health plans purchased through the state health exchange. The credit is calculated based on the first $1,000 of contributions made for each eligible employee and can be used to reduce the business's state tax liability. Companies claiming the credit must submit a specific application form to the Department of Revenue that includes detailed information about their employees and the insurance providers they hired.
This bill requires health insurance plans in Pennsylvania to cover specific preventive services without charging patients any deductibles, copayments, or coinsurance. The list of covered services is primarily based on recommendations from federal health organizations, such as the U.S. Preventive Services Task Force and the Advisory Committee on Immunization Practices, and is managed by the state Department of Health. While most standard health plans must comply with these requirements, the law explicitly excludes "grandfathered" plans that existed before the bill takes effect. The legislation also establishes a process for the state to add new preventive services or remove existing ones based on current medical evidence and expert recommendations.
This bill requires health insurance policies and government programs in Pennsylvania to cover semiannual maintenance and safety checks for complex wheelchairs. It defines complex wheelchairs as custom-designed medical devices that need regular adjustments to meet a user's specific physical needs. The law mandates that these coverage plans pay for the labor and travel costs associated with these evaluations, which can be conducted either in person or via telehealth. By imposing these duties on the Department of Human Services and the Insurance Department, the act ensures that individuals relying on specialized mobility equipment receive consistent care to maintain the device's functionality.
Senate Bill 1360, titled the "So Every BODY Can Move Act," requires health insurance policies in Pennsylvania to cover prostheses and custom orthotics for enrollees. The bill mandates that insurers provide these devices in a nondiscriminatory manner and allows patients to choose their own licensed providers for determination and prescription. Additionally, the legislation assigns duties to the Insurance Department and the Department of Human Services to oversee financial requirements, issue necessary notices, and enforce compliance with the new coverage rules.
This bill requires health insurance companies in Pennsylvania to cover fertility preservation services for individuals facing medically necessary cancer treatments that could cause infertility. The law mandates that insurers include storage for at least three years at an in-network facility and allows a lifetime maximum benefit of up to $100,000 per person, while still permitting standard policy terms like copayments and deductibles. Religious employers may request an exemption from these coverage requirements if the services conflict with their beliefs, though they must notify enrollees and allow individuals to purchase supplemental coverage at their own expense.
This bill creates a new tax credit for small businesses in Pennsylvania that help employees pay for health insurance purchased through the state exchange. To qualify, a business must have 50 or fewer employees and make contributions toward health reimbursement arrangements for their workers. The credit is calculated based on the first $1,000 of contributions per employee and can be applied to reduce the business's state tax liability. Companies claiming the credit must submit detailed forms to the Department of Revenue listing employee information and insurance provider details.
This Pennsylvania bill requires most health insurance plans to cover vaginal estrogen when used to treat menopausal symptoms or prevent urinary tract infections. The law mandates that insurers include FDA-approved drugs, devices, and combination products for this treatment, though they may still apply standard rules regarding medical necessity and patient cost-sharing. Coverage applies to new or renewed policies starting 90 days after the bill takes effect, with specific timelines for plans that do not need to file rates or forms with the state.
This bill amends Pennsylvania's Insurance Company Law to update definitions and provisions related to health insurance coverage. It clarifies how certain government health programs are defined for insurance policies, specifically regarding prescription drug coverage and continuation of coverage for employees who lose their jobs. The legislation also updates the legal definition of a hospital to include facilities operating alcoholism or drug addiction treatment programs and establishes a Long-Term Care Partnership Program to help individuals manage future long-term care costs.
