Healthcare (Insurance)

in committee · Pennsylvania · House Jun 3, 2025

HB 1548: An Act authorizing the State Workers' Insurance Board to make available health insurance policies for purchase by the general public; providing for premiums; and authorizing a loan from the State Workers' Insurance Fund.

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.

Topics ✓ HealthcareSupports HealthcareAuthorizes public health insurance access with mandatory minimum coverage (hospital, emergency, preventive care), expanding coverage options beyond state workers to general public.95% confidence

Sub-Topics Hospitals Insurance Primary Care

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in committee · Pennsylvania · Senate Feb 20, 2025

SB 272: 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 infertility care coverage.

This bill requires most health insurance plans in Pennsylvania to cover infertility treatments without out-of-pocket costs (like deductibles or copays). It applies to individuals, spouses, and dependents seeking fertility care, including treatments like IVF, egg/sperm freezing, embryo transfers, and surrogacy costs. The law prohibits excluding coverage for infertility based on preexisting conditions, prior treatments, or arbitrary limits on the number of attempts. It specifically mandates coverage for 22 defined infertility services, including medical procedures and fertility preservation for those undergoing cancer treatment.

Topics ✓ HealthcareSupports HealthcareMandates infertility treatment coverage without cost-sharing, expanding access to healthcare services per bill's requirements for IVF, egg freezing, and surrogacy.95% confidence

Sub-Topics Insurance

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in committee · Pennsylvania · House Feb 24, 2025

HB 719: An Act prohibiting discriminatory practices against applicants and enrollees under certain insurance policies based on claims or prescriptions involving prophylaxis HIV medication.

HB 719 prohibits Pennsylvania insurance companies from denying coverage, limiting benefits, or charging higher rates to applicants or policyholders solely because they use FDA-approved HIV prevention medications (PrEP for pre-exposure or PEP for post-exposure prophylaxis). The bill directly affects individuals seeking or maintaining insurance coverage who are prescribed these medications for HIV prevention. It bans specific "adverse actions" like coverage denial, reduced benefits, or discriminatory pricing based solely on PrEP or PEP use. The law takes effect 60 days after enactment and enforces violations through existing insurance fraud and unfair practice laws.

Topics ✓ HealthcareSupports HealthcareProhibits insurance discrimination against HIV prevention medication users, protecting coverage access and expanding preventive healthcare access per bill's explicit language.95% confidence

Sub-Topics Insurance

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in committee · Pennsylvania · Senate Feb 26, 2025

SB 351: 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 infertility treatment.

SB 351 mandates that health insurance policies in Pennsylvania providing pregnancy-related benefits must cover infertility treatment expenses, including IVF, embryo transfer, and artificial insemination. It applies to policies delivered, issued, or renewed in the state, requiring coverage for diagnosis and treatment while allowing limited restrictions like waiting periods (aligned with medical guidelines) or copayments not exceeding those for pregnancy benefits. The bill explicitly excludes coverage for infertility resulting from elective sterilization reversal and allows religious organizations to opt out of covering these procedures. This policy change directly affects insured individuals seeking fertility care and insurers offering pregnancy-related coverage in Pennsylvania.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for infertility treatments, expanding reproductive healthcare access beyond pregnancy benefits while allowing limited restrictions.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentMandates infertility treatment coverage under pregnancy-related health insurance, expanding employee health benefits and strengthening workplace healthcare access for workers.90% confidence

Sub-Topics Insurance

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passed · Pennsylvania · House Jun 18, 2025

HB 1088: 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 blood pressure monitors.

HB 1088 amends Pennsylvania's 1921 Insurance Company Law to require casualty insurance policies to cover blood pressure monitors. This directly affects policyholders who rely on these devices for managing health conditions like hypertension, ensuring they are not excluded from standard coverage. The bill adds a specific provision mandating insurers to include blood pressure monitors as covered items under casualty insurance policies. It changes insurer obligations without altering broader policy terms, focusing on making a common medical device accessible through existing insurance frameworks.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for blood pressure monitors, expanding access to essential hypertension management devices under casualty policies.95% confidence

Sub-Topics Insurance

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in committee · Pennsylvania · House Mar 10, 2025

HB 839: An Act amending the act of May 17, 1921 (P.L.682, No.284), known as The Insurance Company Law of 1921, in quality health care accountability and protection, further providing for continuity of care.

HB 839 amends Pennsylvania's 1921 Insurance Company Law to ensure patients can continue care with their current healthcare providers during network changes. It requires insurers to provide a 120-day transitional period (up from 60 days) for patients if a provider leaves a network or a contract expires, with extensions possible for clinical needs - especially for pregnancy-related care through postpartum. Insurers must notify patients of network changes and cannot allow non-participating providers to bill patients directly during this period, covering services at the same terms as in-network providers. The law applies to new or renewed health insurance policies 180 days after enactment and takes effect 60 days after passage.

Topics ✓ HealthcareSupports HealthcareRequires 120-day transition for network changes with pregnancy care extensions, protecting patient access to continuity of care during insurer network shifts.95% confidence

Sub-Topics Insurance

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in committee · Pennsylvania · House Jun 24, 2026

HB 1346: 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 menopause treatment coverage.

HB 1346 amends Pennsylvania's Insurance Company Law to mandate coverage for menopause treatments in health insurance policies. This bill requires health insurance policies offered or renewed in the Commonwealth to provide coverage for both hormonal and non-hormonal treatments for menopausal symptoms. The required coverage includes FDA-approved drugs, devices, behavioral therapy, and treatments for menopause induced by a hysterectomy. This ensures individuals in Pennsylvania experiencing menopause or related symptoms have access to covered treatments, subject to the standard terms and conditions of their health insurance policy.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for menopause treatments, expanding health insurance benefits and improving patient access to approved therapies under Pennsylvania's Insurance Company Law.95% confidence

Sub-Topics Insurance

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in committee · Pennsylvania · House Jun 24, 2026

HB 1244: 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 pelvic floor therapy.

HB 1244 requires health insurance policies and government health programs in Pennsylvania to cover pelvic floor therapy and related treatments for pelvic floor dysfunction. This includes services like biofeedback, trigger point therapy, electrical stimulation, and postoperative care for prostatectomies, hysterectomies, and postpartum assessments. The coverage applies to policies issued or renewed after the bill's effective date, though insurers may still apply medical necessity standards and cost-sharing requirements. The bill directly affects all health insurance companies and government health programs (such as Medicaid) operating under Pennsylvania's insurance law.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for pelvic floor therapy, expanding patient access to specific treatments under health insurance policies.95% confidence

Sub-Topics Insurance Medicaid

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in committee · Pennsylvania · Senate Sep 17, 2025

SB 1007: An Act providing for insurance coverage for transition intervention reversal services.

SB 1007 (An Act providing for insurance coverage for transition intervention reversal services) requires health insurance plans to cover medical services that reverse prior gender transition interventions, such as procedures to undo hormone therapy or surgical changes. This directly affects transgender individuals who have undergone medical transition and seek to reverse those treatments. The key provision mandates that insurers include coverage for these reversal services without additional cost-sharing, treating them similarly to other covered medical procedures. The bill is currently pending referral to the Banking & Insurance committee for further consideration. (Note: The bill title uses "transition intervention reversal services," which refers to medical services reversing prior gender transition treatments, not to be confused with broader policy debates.)

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for reversal of gender transition treatments, expanding patient access to specific healthcare services per bill requirements.95% confidence

Sub-Topics Insurance

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in committee · Pennsylvania · House Jun 25, 2025

HB 1670: 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, further providing for hearing aid coverage.

HB 1670 requires health insurance plans in Pennsylvania, including Medicare and Medicaid coverage, to provide hearing aid benefits. Specifically, it mandates that insurers offer at least $2,500 in coverage every three years for hearing aids sold under state registration rules, with benefits applicable to either hearing aid sellers or contracted fitters. This applies to most health insurance policies but excludes dental, vision, Medicare supplements, and other specified plans. The law takes effect 90 days after enactment, impacting insurers and enrollees in covered health plans across the state.

Topics ✓ HealthcareSupports HealthcareMandates hearing aid coverage in health insurance, expanding patient access to a specific healthcare service under state-regulated plans.95% confidence

Sub-Topics Insurance Medicaid Medicare

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