Bill

Bill > HB444


PA HB444

PA HB444
In casualty insurance, providing for coverage for postacute neurorehabilitation.


summary

Introduced
02/03/2025
In Committee
02/03/2025
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 postacute neurorehabilitation.

AI Summary

This bill amends Pennsylvania's insurance law to require health insurance policies to provide coverage for postacute neurorehabilitation services for individuals with acquired brain injuries. The bill mandates that insurers cover a comprehensive range of rehabilitation services, including cognitive communication therapy, cognitive rehabilitation therapy, neurobehavioral therapy, neuropsychological testing, functional rehabilitation therapy, and community reintegration services. These services can be provided in facility, home, and community-based settings. The bill specifies that insurers must verify that neurorehabilitation practitioners are qualified and accredited, and that the coverage cannot limit the number of days of treatment if it is medically necessary, as determined by the patient's treating physician. The bill defines various types of rehabilitation services and specifies that the coverage should not have higher out-of-pocket costs compared to other benefits. The new requirements will apply to new or renewed health insurance policies, with a phased implementation over 180 days. The bill excludes certain types of insurance policies from these requirements, such as accident-only, dental, vision, and workers' compensation policies. The overall goal is to ensure more comprehensive and accessible rehabilitation services for individuals recovering from brain injuries.

Committee Categories

Business and Industry

Sponsors (19)

Last Action

Referred to Insurance (on 02/03/2025)

bill text


bill summary

Loading...

bill summary

Loading...
Loading...