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PA SB542

PA SB542
Requiring health insurance policies to provide coverage for postexposure prophylaxis HIV medication.


summary

Introduced
03/28/2023
In Committee
03/28/2023
Crossed Over
Passed
Dead
12/31/2024

Introduced Session

2023-2024 Regular Session

Bill Summary

Requiring health insurance policies to provide coverage for postexposure prophylaxis HIV medication.

AI Summary

This bill, known as the PEP for Pennsylvania Act, requires health insurance policies in Pennsylvania to provide coverage for postexposure prophylaxis (PEP) HIV medication. PEP is a medication approved by the FDA that can be taken to prevent the transmission of the human immunodeficiency virus. The bill prohibits insurance providers from moving PEP medications to a specialty tier solely for monetary gains, and it also specifies that health care plans cannot impose counseling from an infectious disease specialist or immunologist to receive PEP medication unless it is medically necessary. The bill will take effect 60 days after being passed into law.

Committee Categories

Business and Industry

Sponsors (13)

Last Action

Referred to BANKING AND INSURANCE (on 03/28/2023)

Bill Topics

Health
  • ‐ Communicable Diseases
  • ‐ Health Insurance Reform
  • ‐ Treatment of Specific Diseases

bill text


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