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PA HB755
Bill
Status
3/25/2025
Primary Sponsor
Perry Warren
Click for details
AI Summary
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Requires health insurers in Pennsylvania to cover preventive health services without cost-sharing (no deductibles, copays, or coinsurance) for all non-grandfathered health insurance policies
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Creates a state-maintained "preventive services list" based on services required under federal law (42 U.S.C. § 300gg-13) as of January 1, 2025, including services rated "A" or "B" by the U.S. Preventive Services Task Force, CDC-recommended immunizations, and HRSA-supported screenings
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Authorizes the Insurance Department to add or remove services from the preventive services list through a public notice and comment process with at least 15 business days for public input
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Establishes penalties for violations including fines up to $5,000 per violation ($10,000 for willful violations), with aggregate caps of $500,000 per insurer and $100,000 per other person annually, plus potential license suspension or revocation
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Takes effect only if federal preventive services requirements under 42 U.S.C. § 300gg-13 are repealed, invalidated by a court, or unenforced by the executive branch, serving as a state-level backstop
Legislative Description
Providing for health care insurance preventive services coverage protections; conferring authority on the Insurance Department and the Insurance Commissioner; and providing for regulations, for enforcement and for penalties.
Last Action
Referred to Banking & Insurance
3/25/2025