An Act providing for health care insurance preventive services coverage protections; conferring authority on the Insurance Department and the Insurance Commissioner; and providing for regulations, for enforcement and for penalties.

Source of recordPennsylvania · palegis.usLast synced Sep 4, 2026

Chamber

Senate

Progress

Where this bill stands in the legislative process.

Introduced
Passed Senate
Passed House
To Governor
Became Law

Overview

This act, the Health Insurance Preventive Services Coverage Act, aims to ensure that health insurance policies cover preventive health services without requiring cost-sharing. It establishes a list of these services, grants the Insurance Department and Insurance Commissioner authority to manage this list and enforce coverage requirements, and outlines a process for adding or removing services from the list. The act also includes provisions for penalties related to non-compliance and addresses potential conflicts with existing laws.

Key provisions

Requires health insurers to cover preventive services listed on the ‘preventive services list’ without cost-sharing.
Grants the Insurance Department and Insurance Commissioner authority to manage and update the ‘preventive services list’.
Establishes a process for adding or removing services from the ‘preventive services list’ involving public comment and departmental evaluation.
Defines key terms such as ‘Commissioner,’ ‘cost sharing,’ ‘enrollee,’ and ‘preventive service.’
Specifies penalties for insurers who violate the act’s requirements.
Allows the department to exempt services from the list if they no longer meet established criteria.
Addresses grandfathered health care plans and ensures continued coverage.
Outlines a process for implementing the act, including a notice to the Legislative Reference Bureau if federal regulations change.