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PA SB88
Bill
Status
11/24/2025
Primary Sponsor
Frank Farry
Click for details
AI Summary
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Requires health insurance policies in Pennsylvania to cover mammograms without cost sharing for women 40 and older, and for women under 40 with a physician's recommendation
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Mandates coverage without cost sharing for supplemental breast screenings (MRI or ultrasound) and diagnostic breast examinations for individuals at average risk or higher for breast cancer
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Defines "average risk" as having 15% or less lifetime risk of breast cancer diagnosis, with no personal or family history, no BRCA gene mutations, no prior radiation therapy before age 30, and no dense breast tissue
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Repeals the existing Section 632 of The Insurance Company Law of 1921 and replaces it with new Section 632.1 containing expanded breast imaging coverage requirements
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Takes effect 60 days after enactment, with coverage requirements applying to policies filed or renewed 180 days after the effective date
Legislative Description
In casualty insurance, repealing provisions relating to coverage for mammographic examinations and breast imaging and providing for coverage for mammographic examinations, magnetic resonance imaging and other forms of breast imaging.
Last Action
Act No. 52 of 2025
11/24/2025