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PA HB839
Bill
Status
3/10/2025
Primary Sponsor
Joseph Webster
Click for details
AI Summary
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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
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Applies to insurers, Medical Assistance (MA) managed care plans, and CHIP managed care plans in Pennsylvania
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Requires insurers to notify all affected patients when a provider's network status changes and request they select a new primary care provider
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Prohibits non-participating providers from balance billing patients beyond standard cost-sharing amounts when reimbursed at in-network rates during the transitional period
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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