Healthcare (Insurance)

in committee · Pennsylvania · House Jun 5, 2026

HR 551: A Resolution directing the Joint State Government Commission and Legislative Budget and Finance Committee to examine the reimbursement mechanisms necessary to expand and sustain a robust behavioral health crisis service system in this Commonwealth, specifically analyzing practices of the Medicaid program, Medicare program and private commercial health insurance payors in paying for crisis services and their impact on the sustainability and accessibility of these vital services.

This resolution directs state committees to study how Medicaid, Medicare, and private insurance pay for behavioral health crisis services in Pennsylvania. The investigation aims to understand how current payment methods affect the ability of crisis centers to operate sustainably and provide accessible care. The study will analyze specific financial data, compare reimbursement rates across different payors, and review successful models used in other states. Ultimately, the committees will develop recommendations to improve funding and ensure the long-term viability of these essential services.

Topics ✓ HealthcareSupports HealthcareBill directs committees to examine reimbursement mechanisms to expand and sustain behavioral health crisis services, aiming to improve accessibility and sustainability.85% confidence

Sub-Topics Insurance Medicaid Mental Health

Track

in committee · Pennsylvania · Senate Jun 29, 2026

SB 1403: An Act amending Title 35 (Health and Safety) of the Pennsylvania Consolidated Statutes, in emergency medical services system, further providing for receiving facilities and providing for transportation coverage; and abrogating a regulation.

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payments when patients are treated and transported to these designated facilities, while simultaneously removing an outdated regulation regarding covered services.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for emergency transport and clarifies receiving facility rules, improving patient access and financial protection.85% confidence ✓ TransportationSupports TransportationBill clarifies patient transport rules and mandates insurance coverage for emergency services, enhancing the safety and financial viability of emergency transportation systems.85% confidence

Sub-Topics Hospitals Insurance Mental Health Vehicle Registration

Track

in committee · Pennsylvania · House Jun 24, 2026

HR 573: A Resolution recognizing the month of August 2026 as "National Breastfeeding Month" in Pennsylvania.

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.

Topics ✓ HealthcareSupports HealthcareBill promotes breastfeeding awareness and acknowledges existing protections, aligning with public health goals.85% confidence

Sub-Topics Insurance

Track

in committee · Pennsylvania · Senate Jun 26, 2026

SB 1389: An Act amending the act of March 4, 1971 (P.L.6, No.2), known as the Tax Reform Code of 1971, providing for Small Business Health Care Premiums Contribution Tax Credit.

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.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill provides a tax credit for small businesses, reducing their tax liability and promoting fiscal relief for smaller enterprises.90% confidence ✓ HealthcareSupports HealthcareBill creates tax credits to help small businesses contribute to employee health insurance premiums, expanding access and funding for healthcare.90% confidence ✓ Labor & EmploymentSupports Labor & EmploymentBill provides tax credits to help small businesses contribute to employee health insurance premiums, expanding worker benefits.85% confidence

Sub-Topics Business Taxes Tax Credits Insurance Tags Small Business

Track

in committee · Pennsylvania · House Jun 26, 2026

HB 2673: An Act amending Title 40 (Insurance) of the Pennsylvania Consolidated Statutes, providing for preventive services coverage.

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.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for preventive services without cost-sharing, expanding access and strengthening health benefits.95% confidence

Sub-Topics Insurance

Track

in committee · Pennsylvania · House Jun 9, 2026

HB 2613: An Act providing for complex wheelchair quality assurance; and imposing duties on the Department of Human Services and the Insurance Department.

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.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for essential wheelchair maintenance, expanding access to necessary medical equipment and services.95% confidence

Sub-Topics Insurance Telehealth

Track

in committee · Pennsylvania · Senate Jun 8, 2026

SB 1360: An Act providing for insurance coverage for prostheses and orthoses; and imposing duties on the Insurance Department and the Department of Human Services.

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.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for prostheses and orthotics, expanding access to necessary medical devices and protecting patient rights.95% confidence

Sub-Topics Insurance

Track

in committee · Pennsylvania · Senate May 21, 2026

SB 1315: 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 coverage for certain fertility preservation services.

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.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for fertility preservation services, expanding access to essential reproductive healthcare.95% confidence

Sub-Topics Insurance

Track

passed · Pennsylvania · House Jun 26, 2026

HB 2550: An Act amending the act of March 4, 1971 (P.L.6, No.2), known as the Tax Reform Code of 1971, providing for Small Business Health Care Premiums Contribution Tax Credit.

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.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill creates a tax credit for small businesses, providing tax relief and encouraging health coverage contributions.90% confidence ✓ HealthcareSupports HealthcareBill creates a tax credit to incentivize small businesses to contribute to employee health insurance, expanding coverage access.90% confidence ✓ Labor & EmploymentSupports Labor & EmploymentBill provides tax credits to small businesses for health insurance contributions, expanding worker benefits and supporting employee welfare.85% confidence

Sub-Topics Business Taxes Tax Credits Insurance Tags Small Business

Track

in committee · Pennsylvania · House Jun 24, 2026

HB 2545: An Act providing for insurance coverage for vaginal estrogen for the treatment of menopausal symptoms and urinary tract infections.

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.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for specific medical treatments, expanding patient access and strengthening health benefits.90% confidence

Sub-Topics Insurance

Track