Loading chat...

PA HB755

Bill

Status

Engrossed

3/25/2025

Primary Sponsor

Perry Warren

Click for details

Origin

House of Representatives

2025-2026 Regular Session

AI Summary

  • 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

  • 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

  • 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

  • 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

  • Takes effect only if federal preventive services requirements under 42 U.S.C. § 300gg-13 are repealed, invalidated by a court, or unenforced by the executive branch, serving as a state-level backstop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

Committee Referrals

Banking & Insurance3/25/2025
Appropriations3/24/2025
Insurance3/3/2025

Full Bill Text

No bill text available