HB 1602 amends Pennsylvania's Breast and Cervical Cancer Early Screening Act to update the program's short title, definitions, and administrative structure. It clarifies operational details without changing the core screening services provided to patients. The bill directly affects the Pennsylvania Breast and Cervical Cancer Early Screening Program, healthcare providers offering screenings, and patients seeking preventive care. The bill was referred to the Insurance committee on June 16, 2025, for further review.
SB 614 amends Pennsylvania's Fiscal Code to establish a state-funded initiative supporting workforce development for Federally Qualified Health Centers (FQHCs), which are community health centers serving rural and underserved areas. The bill directly affects FQHCs by providing funding to recruit and retain primary care staff, addressing documented shortages in these facilities. Key provisions include creating a dedicated funding stream within the state budget specifically for FQHC workforce expansion, with appropriations to cover hiring and training costs. This policy change aims to strengthen primary care access in communities with limited healthcare resources through targeted financial support.
HB 1548 authorizes Pennsylvania's State Workers' Insurance Board to sell health insurance policies directly to the general public, not just state workers. The program must include minimum coverage for inpatient/outpatient hospital care, emergency services, preventive care, and basic medical services like doctor visits, physical therapy, and lab tests. The Board may borrow up to 40% of the State Workers' Insurance Fund’s annual balance to cover claims and administrative costs, with premiums partially funding loan repayments. This program will begin on January 1, 2026, offering a new public option for health insurance in Pennsylvania.
SB 522 provides funding and support for integrating mental health services into primary care settings across Pennsylvania. It allocates grants to primary care physicians and practices to cover initial costs of implementing collaborative care models (like hiring staff, upgrading technology, and creating patient tracking systems), with priority for rural clinics and areas with high suicide or overdose rates. The bill also establishes regional technical assistance centers to help practices develop staffing models, integrate tools into electronic records, and navigate billing. These provisions directly affect primary care providers statewide, aiming to improve access to behavioral health services through existing medical settings.
This bill requires Medicaid programs and private health insurance plans to cover bone density screenings, preventive care, and treatments for osteoporosis specifically linked to menopause. It directly affects postmenopausal women, particularly those with low income who rely on Medicaid, by ensuring access to these services without cost barriers. The key provision mandates that both public medical assistance programs and private insurers include these osteoporosis-related services in standard coverage. This expands existing coverage to explicitly address menopause-related bone health needs.
SB 51, the Health Insurance Core Benefits Coverage Act, requires Pennsylvania health insurance companies to cover specific core health benefits in both individual and group plans. It mandates coverage for 10 essential categories, including emergency services, mental health care, prescription drugs, hospitalization, preventive care, and pediatric services (like dental/vision for children). The law ensures plans are at least as comprehensive as those offered in 2018, with the Insurance Department allowed to adjust requirements through regulations. This directly affects insurers and policyholders by standardizing minimum coverage across the state.
HB 1376 amends Pennsylvania's Public School Code to establish standards for school-based health centers in public, private, and parochial schools. It requires these centers to provide accessible care without denying services based on payment ability, insurance status, or health conditions, while coordinating with students' existing primary care providers. Centers must offer a full range of services with proper parental consent, minimize barriers to care, and maintain confidentiality per federal law. The bill also creates a statewide advisory council and a department liaison to oversee implementation and ensure centers align with student needs like age, demographics, and community resources.
HB 1590 removes specific regulatory requirements that clinics must meet to receive payment for services provided within their own facilities under public assistance programs like Medicaid. This change directly affects clinics offering on-site care covered by these programs, simplifying their billing process. The bill amends the Human Services Code to eliminate the need for clinics to comply with certain prior payment rules when services occur inside their physical premises. It focuses solely on modifying reimbursement procedures without altering eligibility or funding levels.