HB 2545
An Act providing for insurance coverage for vaginal estrogen for the treatment of menopausal symptoms and urinary tract infections.
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Sign in to take action- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Bill overview
This act requires health insurance policies in Pennsylvania to cover vaginal estrogen for the treatment of menopausal symptoms and for preventing urinary tract infections. The bill defines key terms like ‘vaginal estrogen,’ ‘menopausal symptoms,’ and ‘urinary tract infection.’ It mandates that insurance policies include coverage for approved vaginal estrogen products, subject to standard insurance terms and conditions. The act specifies timelines for applying the coverage requirements to both filed and unfiled policies.
Key provisions
- Requires health insurance policies to cover vaginal estrogen for menopausal symptoms.
- Requires health insurance policies to cover vaginal estrogen for the prevention of urinary tract infections.
- Defines ‘vaginal estrogen’ and ‘menopausal symptoms.’
- Specifies that coverage must include FDA-approved vaginal estrogen products.
- States that coverage is subject to standard insurance terms, including cost sharing and utilization review.
- Establishes timelines for applying the coverage requirements to different types of insurance policies.
- Defines ‘Cost Sharing’ and provides a detailed list of what it includes and excludes.
- Defines the ‘Department’ as the Insurance Department of the Commonwealth.
Who is affected
- Individuals with health insurance policies in Pennsylvania
- Health insurance companies operating in Pennsylvania
- Patients experiencing menopausal symptoms
- Patients with urinary tract infections
Sponsors
Official sponsors from legislative records.
Primary sponsor
Cosponsors
Darisha K. Parker
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