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Bill > HB281


PA HB281

PA HB281
In casualty insurance, providing for coverage for prostate cancer screening.


summary

Introduced
01/22/2025
In Committee
01/22/2025
Crossed Over
Passed
Dead

Introduced Session

2025-2026 Regular Session

Bill Summary

Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An act relating to insurance; amending, revising, and consolidating the law providing for the incorporation of insurance companies, and the regulation, supervision, and protection of home and foreign insurance companies, Lloyds associations, reciprocal and inter-insurance exchanges, and fire insurance rating bureaus, and the regulation and supervision of insurance carried by such companies, associations, and exchanges, including insurance carried by the State Workmen's Insurance Fund; providing penalties; and repealing existing laws," in casualty insurance, providing for coverage for prostate cancer screening.

AI Summary

This bill amends The Insurance Company Law of 1921 to require health insurance policies in Pennsylvania to provide coverage for prostate cancer screenings without cost-sharing for individuals at least 40 years old who are at high risk. High-risk factors include having a genetic alteration associated with increased prostate cancer risk, a family history of prostate cancer (defined as a first-degree relative diagnosed with or dying from prostate cancer), or other medically appropriate factors determined by a physician. The bill specifically defines cost-sharing as out-of-pocket expenses like deductibles, coinsurance, and copayments, and specifies that prostate cancer screenings include prostate-specific antigen (PSA) tests and digital rectal examinations. The legislation will apply to health insurance policies for which forms or rates are filed 180 days after the effective date, and the bill itself will take effect 60 days after passage. The goal is to improve early detection of prostate cancer by making screenings more accessible and affordable for high-risk individuals.

Committee Categories

Business and Industry

Sponsors (36)

Last Action

Referred to Insurance (on 01/22/2025)

bill text


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