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PA HB1848
Bill
Status
9/9/2025
Primary Sponsor
Lisa Borowski
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AI Summary
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Requires health insurance policies and government programs (Medicaid, CHIP) to cover medically necessary physical therapy, occupational therapy, and speech therapy for individuals under 21 years of age
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Prohibits insurers from imposing deductibles, maximum benefit amounts, or visit limits on these therapy services, though copayments and coinsurance may still apply
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Establishes the Children's Therapies Medical Assistance Savings Account within the General Fund to capture savings from reduced Medicaid managed care capitation rates for children's therapy services
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Directs the Department of Human Services to use account funds to increase reimbursement rates for therapy providers or offset increased CHIP costs from the expanded coverage mandate
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Takes effect 90 days after enactment, with coverage requirements applying to newly filed insurance policies or policies issued/renewed 180 days after the effective date
Legislative Description
In casualty insurance, providing for coverage for physical therapy, occupational therapy and speech therapy; and establishing the Children's Therapies Medical Assistance Savings Account.
Last Action
Referred to Human Services
9/9/2025