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PA SB271
Bill
Status
2/20/2025
Primary Sponsor
Amanda Cappelletti
Click for details
AI Summary
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Requires Pennsylvania's medical assistance program and private health insurers to cover bariatric surgery and related treatments for obesity when a physician certifies compliance with American Society for Metabolic and Bariatric Surgery or American College of Surgeons standards
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Mandates coverage of FDA-approved anti-obesity medications for private insurers and drugs on the Pennsylvania Medical Assistance Statewide Preferred Drug List for Medicaid
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Related covered treatments include preoperative psychological screening, behavior modification, nutritional counseling, exercise programs, and postoperative follow-up care
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Applies only to insured individuals at least 18 years of age and requires benefits be provided at the same level as other medically necessary surgical procedures
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Takes effect 60 days after enactment and applies to health insurance policies offered, issued, or renewed after the effective date
Legislative Description
In casualty insurance, providing for coverage for anti-obesity treatments; and abrogating a regulation.
Last Action
Referred to Banking & Insurance
2/20/2025