An Act amending Title 40 (Insurance) of the Pennsylvania Consolidated Statutes, providing for preventive services coverage.
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Overview
This bill amends Pennsylvania’s insurance laws to require health insurance policies to cover preventive services. It establishes a ‘preventive services list’ based on recommendations from organizations like the Centers for Disease Control and Prevention and the U.S. Preventive Services Task Force. Insurers must cover services on this list without imposing cost-sharing requirements, with some exceptions for grandfathered plans. The Department of Health will oversee the process of adding or removing services from the list.
Key provisions
- Establishes a ‘preventive services list’ of covered health services.
- Requires insurers to cover services on the preventive services list without cost-sharing.
- Allows the Department of Health to add or remove services from the list based on medical evidence and public health considerations.
- Defines key terms related to insurance and preventive care.
- Specifies procedures for determining when new preventive services should be added to the list.
- Outlines penalties for insurers who violate the bill’s provisions.
- Provides a process for insurers to appeal administrative penalties.
- Exempts policyholders who rely on religious freedom protections.
Who is affected
- Health insurance companies
- Enrollees in health insurance policies
- Healthcare providers
- The Insurance Department
- The General Public
Bill text
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Document of record
- Version
- Pn 3714 Html
- Published
- Not published in the source record
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Sponsors
Official sponsors from legislative records.
9 on record
Primary sponsor
Cosponsors
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