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.
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
Overview
This bill amends Pennsylvania’s insurance laws to require health insurance policies to cover treatments for menopause symptoms. Specifically, it mandates coverage for hormonal and non-hormonal medications, behavioral therapy, and therapy for menopause induced by a hysterectomy. The bill defines key terms like ‘menopause symptoms’ and ‘hysterectomy’ to ensure consistent interpretation and application of the coverage requirements.
Key provisions
- Requires health insurance policies to cover hormonal and non-hormonal treatments for menopause symptoms.
- Includes coverage for behavioral therapy to manage menopause symptoms.
- Requires coverage for therapy to treat menopause induced by a hysterectomy.
- Defines ‘menopause symptoms’ to include irregular periods, hot flashes, and other related conditions.
- Defines ‘hysterectomy’ for clarity in coverage requirements.
- Establishes definitions for terms like ‘cost-sharing’ and ‘health insurance policy’ to ensure consistent application.
- Specifies that coverage is subject to standard policy terms and conditions.
- Sets timelines for when the new coverage requirements apply to policies with and without rate or form filings.
Who is affected
- Individuals with health insurance policies in Pennsylvania
- Health insurance companies operating in Pennsylvania
- Healthcare providers offering menopause treatments
Bill text
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Document of record
- Version
- Pn 1368 Html
- Published
- Not published in the source record
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Sponsors
Official sponsors from legislative records.
9 on record
Primary sponsor
Cosponsors
Christine Tartaglione
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