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PA SB610
Bill
Status
4/9/2025
Primary Sponsor
Amanda Cappelletti
Click for details
AI Summary
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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
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Confidential communications covered include explanation of benefits, appointment information, claim denials, provider names and addresses, and any communication containing protected health information
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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
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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
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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