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PA HB1848

Bill

Status

Introduced

9/9/2025

Primary Sponsor

Lisa Borowski

Click for details

Origin

House of Representatives

2025-2026 Regular Session

AI Summary

  • 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

  • Prohibits insurers from imposing deductibles, maximum benefit amounts, or visit limits on these therapy services, though copayments and coinsurance may still apply

  • 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

  • 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

  • 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

Committee Referrals

Human Services9/9/2025

Full Bill Text

No bill text available