Bill > HB839

This bill amends the Insurance Company Law of 1921 to enhance continuity of care protections for patients in managed care plans. The key changes extend the transitional period for patients to continue treatment with a healthcare provider from 60 to 120 days when a provider leaves a network or a health insurance plan terminates a provider's contract. For pregnant patients in their second or third trimester, the transitional period will continue through postpartum care. The bill requires insurers (including Medicaid [MA] and Children's Health Insurance Program [CHIP] managed care plans) to notify patients when their primary care provider's network status changes and help them select a new provider. Additionally, during the transitional period, nonparticipating healthcare providers will be reimbursed at the same rate as participating providers and cannot directly bill patients for services beyond normal cost-sharing amounts. The bill will apply to health insurance policies filed or renewed 180 days after its effective date and will take effect 60 days after passage, aiming to protect patients from disruptions in their ongoing medical care when provider networks change.

Business and Industry

https://www.legis.state.pa.us/cfdocs/billinfo/bill_history.cfm?syear=2025&sind=0&body=H&type=B&bn=839