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 coverage for biomarker testing.
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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 Company Law of 1921 to require insurance companies that participate in the Medical Assistance or Children’s Health Insurance Program to provide coverage for biomarker testing. It clarifies the definition of ‘medical assistance’ and establishes a process for ensuring federal approval for these coverage provisions. The changes aim to expand healthcare access for eligible individuals by ensuring coverage for these tests.
Key provisions
- Defines ‘medical assistance’ and ‘Children’s Health Insurance Program managed care plan’ to include plans that utilize gatekeepers for biomarker testing.
- Requires insurance companies participating in these programs to provide coverage for biomarker testing.
- Mandates federal approval for biomarker testing coverage.
- Aligns biomarker testing coverage with existing coverage for medical assistance participants.
- Establishes definitions for key terms used in the legislation.
Who is affected
- Insurance Companies
- Medical Assistance Recipients
- Children’s Health Insurance Program Recipients
- Healthcare Providers
- Pennsylvania Residents
Notable changes
- Expands coverage for biomarker testing under the Medical Assistance and Children’s Health Insurance Program.
Bill text
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Document of record
- Version
- Pn 1497 Html
- Published
- Not published in the source record
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Sponsors
Official sponsors from legislative records.
9 on record
Primary sponsor
Cosponsors
Daniel Laughlin
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