Bill > HB1346

This bill requires health insurance policies in Pennsylvania to provide comprehensive coverage for menopause treatment by mandating coverage for hormonal and non-hormonal treatments that manage menopausal symptoms. Specifically, the bill requires insurers to cover FDA-approved drugs and devices for treating menopause, behavioral therapy to help individuals cope with menopausal symptoms, and therapy for menopause induced by hysterectomy. The bill defines menopausal symptoms broadly, including irregular periods, hot flashes, vaginal and bladder changes, decreased fertility, bone density loss, cholesterol level changes, and sleep disturbances. The legislation also provides detailed definitions of key terms like "cost-sharing" and "health insurance policy," specifically excluding certain types of limited-benefit insurance policies from the requirement. The coverage will be subject to standard insurance policy terms like medical necessity and cost-sharing provisions. The bill will take effect 60 days after passage, with implementation phased in over 180 days depending on whether insurance forms require pre-filing with the Insurance Department, ensuring a structured rollout of the new coverage requirements.