HB 2611
An Act amending Title 18 (Crimes and Offenses) of the Pennsylvania Consolidated Statutes, in assault, providing for the offense of aggravated assault of an insured.
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Sign in to take action- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill creates a new crime in Pennsylvania called ‘aggravated assault of an insured.’ It specifically applies to the actions of a health insurer’s chief executive officer if an insured suffers serious bodily injury or death as a result of a denial of a medically necessary benefit. The bill defines key terms related to health insurance and adverse benefit determinations to clarify the scope of the new offense.
Key provisions
- Defines ‘aggravated assault of an insured’ as a specific crime.
- Specifies that the offense applies to a health insurer’s chief executive officer.
- Requires an ‘adverse benefit determination’ to result in serious bodily injury or death.
- Defines ‘insured’ as someone covered by a health insurance policy.
- Defines ‘medically necessary’ as a key factor in determining the offense.
- Lists specific types of health insurance policies excluded from the definition.
- Defines ‘health insurer’ based on licensing and coverage types.
- Establishes a 60-day effective date for the law.
Who is affected
- Health insurers and their chief executive officers
- Individuals covered by health insurance policies (insureds)
- Patients who experience adverse benefit determinations
Notable changes
- Creates a new criminal offense related to adverse benefit determinations in health insurance.
Sponsors
Official sponsors from legislative records.
Primary sponsor
Cosponsors
Darisha K. Parker
Manuel Guzman
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