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PA SB610

Bill

Status

Introduced

4/9/2025

Primary Sponsor

Amanda Cappelletti

Click for details

Origin

Senate

2025-2026 Regular Session

AI Summary

  • Health insurers must allow protected enrolled dependents (adults on a parent's plan or minors who can legally consent to care) to request confidential communications about their health care services, preventing disclosure to the primary policyholder

  • Confidential communications covered include explanation of benefits, appointment information, claim denials, provider names and addresses, and any communication containing protected health information

  • Dependents may request communications be sent to an alternate address, alternate email, or suppressed entirely if they have no payment liability for the service; insurers must implement requests within 3 business days

  • Insurance Department required to submit annual reports to the legislature on compliance data and program effectiveness, and must establish an appeals process for claim denials affecting dependents using confidential communications

  • Takes effect 60 days after enactment, with requirements applying to policies 180 days after the effective date; excludes accident-only, dental-only, vision-only, workers' compensation, and certain other limited coverage policies

Legislative Description

In casualty insurance, providing for enrolled dependents right to confidentiality for health care services received.

Last Action

Referred to Banking & Insurance

4/9/2025

Committee Referrals

Banking & Insurance4/9/2025

Full Bill Text

No bill text available