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.
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Overview
This bill amends Pennsylvania’s Insurance Company Law of 1921 to require government programs and health insurance policies to cover pelvic floor therapy. The therapy is intended to treat pelvic floor dysfunction and related conditions, including post-operative care after prostatectomies and hysterectomies, and postpartum assessments. Coverage will remain subject to standard medical necessity policies and cost-sharing arrangements.
Key provisions
- Requires government programs and health insurance policies to cover pelvic floor therapy.
- Defines ‘pelvic floor therapy’ as treatment for pelvic floor dysfunction and related conditions.
- Lists specific conditions covered under pelvic floor therapy, including post-operative care and postpartum assessments.
- Specifies that coverage is subject to insurer’s medical necessity policies and cost-sharing.
- Defines ‘government program’ to include the Commonwealth’s medical assistance program and the children’s health insurance program.
- Defines ‘health insurance policy’ to exclude certain types of insurance plans.
- Establishes a timeline for applying the new coverage requirements to existing and new policies.
Who is affected
- Individuals with pelvic floor dysfunction
- Health insurance companies
- Government healthcare programs (Commonwealth’s medical assistance program, children’s health insurance program)
Bill text
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Document of record
- Version
- Pn 1393 Html
- Published
- Not published in the source record
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Sponsors
Official sponsors from legislative records.
9 on record
Primary sponsor
Cosponsors
Danielle Friel Otten
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