PA HB1140

Requires all Medical Assistance, CHIP managed care plans, and health insurance policies in Pennsylvania to cover FDA-approved contraceptive drugs, devices, and voluntary sterilization surgery without cost sharing (no deductibles, copays, or coinsurance)

Mandates coverage of over-the-counter emergency contraceptives (levonorgestrel, ulipristal acetate) and OTC oral contraceptives without prior authorization or step therapy requirements, including through statewide standing orders issued by the Secretary of Health

Allows dispensing of up to 12-month supplies of prescription oral contraceptives after an initial 3-month supply, with coverage continuing regardless of changes in insurance enrollment

Provides religious and moral exemptions for entities objecting under federal regulations (45 CFR 147.132 and 147.133), but requires written notice to employees when contraceptive coverage is limited or excluded

Establishes penalties of up to $5,000 per violation ($10,000 for willful violations), with aggregate caps of $500,000 annually for insurers and $100,000 for other persons, plus potential license suspension or revocation