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PA HB949
Bill
Status
3/18/2025
Primary Sponsor
Brandon Markosek
Click for details
AI Summary
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Expands mandatory health insurance coverage for speech therapy to include apraxia (a neurological childhood speech sound disorder) in addition to the existing coverage for childhood stuttering
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Requires coverage for both habilitative speech therapy (learning/improving skills) and rehabilitative speech therapy (restoring lost skills) administered by licensed speech-language pathologists
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Coverage remains subject to standard health insurance policy terms including medical necessity requirements, cost-sharing, and utilization review
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Insurers are not required to cover school-based speech therapy solely because it is included in an individualized education program (IEP)
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Applies to health insurance policies with forms/rates filed 180 days after the effective date, with the act taking effect 60 days after enactment
Legislative Description
In casualty insurance, further providing for speech therapy for stuttering.
Last Action
Referred to Insurance
3/18/2025