Bill > SB317

This bill amends the Insurance Company Law of 1921 to require health insurance policies to provide comprehensive coverage for eating disorder treatment. The bill mandates that health insurance policies cover a wide range of treatments including inpatient hospitalization, partial hospitalization, residential treatment, intensive outpatient care, follow-up care, counseling, and medical nutrition therapy. These services must be provided by licensed professionals such as physicians, psychologists, psychiatrists, counselors, social workers, and dietitian-nutritionists. The bill stipulates that medical necessity determinations for eating disorder treatment cannot be based solely on weight and must consider the individual's overall medical and mental health needs, referencing the DSM-5 and current medical standards. Additionally, the legislation prohibits insurers from denying coverage, providing incentives to discourage treatment, or penalizing providers for treating patients with eating disorders. The bill defines eating disorders broadly to include conditions like anorexia nervosa, bulimia nervosa, binge-eating disorder, and others. The new requirements will apply to health insurance policies either when they are first filed or within 180 days of the act's effective date, which is 60 days after passage. This legislation aims to ensure more comprehensive and equitable insurance coverage for individuals seeking treatment for eating disorders.

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https://www.legis.state.pa.us/cfdocs/billinfo/bill_history.cfm?syear=2025&sind=0&body=S&type=B&bn=317