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PA SB268

Bill

Status

Introduced

2/20/2025

Primary Sponsor

Judith Ward

Click for details

Origin

Senate

2025-2026 Regular Session

AI Summary

  • Requires health insurers and pharmacy benefits managers to count third-party payments (such as copay assistance from manufacturers or charities) toward an insured's deductible, copayment, coinsurance, and other out-of-pocket cost-sharing requirements

  • Applies to individual and group health insurance policies, HMOs, and hospital/professional health services plan corporations issued or renewed after the effective date

  • Excludes accident-only, dental, vision, Medicare supplement, long-term care, disability income, workers' compensation, and automobile medical payment insurance from the requirements

  • Amends The Insurance Company Law of 1921 by adding Section 631.2 on cost-sharing calculation

  • Takes effect 60 days after enactment

Legislative Description

In casualty insurance, providing for cost-sharing calculation.

Last Action

Referred to Banking & Insurance

2/20/2025

Committee Referrals

Banking & Insurance2/20/2025

Full Bill Text

No bill text available