Loading chat...

PA HB839

Bill

Status

Introduced

3/10/2025

Primary Sponsor

Joseph Webster

Click for details

Origin

House of Representatives

2025-2026 Regular Session

AI Summary

  • Extends the transitional care period from 60 days to 120 days for patients to continue treatment with a health care provider who leaves their insurance network, whether due to contract termination, expiration, or non-renewal by either party

  • Applies to insurers, Medical Assistance (MA) managed care plans, and CHIP managed care plans in Pennsylvania

  • Requires insurers to notify all affected patients when a provider's network status changes and request they select a new primary care provider

  • Prohibits non-participating providers from balance billing patients beyond standard cost-sharing amounts when reimbursed at in-network rates during the transitional period

  • Takes effect 60 days after enactment, with a 180-day implementation period for health insurance policies to comply

Legislative Description

In quality health care accountability and protection, further providing for continuity of care.

Last Action

Referred to Insurance

3/10/2025

Committee Referrals

Insurance3/10/2025

Full Bill Text

No bill text available