Bill
Bill > SB88
PA SB88
In casualty insurance, repealing provisions relating to coverage for mammographic examinations and breast imaging and providing for coverage for mammographic examinations, magnetic resonance imaging and other forms of breast imaging.
summary
Introduced
06/06/2025
06/06/2025
In Committee
06/24/2025
06/24/2025
Crossed Over
06/24/2025
06/24/2025
Passed
Dead
Introduced Session
Potential new amendment
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, repealing provisions relating to coverage for mammographic examinations and breast imaging and providing for coverage for mammographic examinations, magnetic resonance imaging and other forms of breast imaging.
AI Summary
This bill updates Pennsylvania's insurance regulations to provide comprehensive coverage for breast cancer screening and diagnostic services. The legislation requires health insurance policies to cover mammographic examinations annually for women 40 and older, and for women under 40 when recommended by a physician. Additionally, the bill mandates coverage for supplemental breast screenings and diagnostic breast examinations for individuals determined to be at average risk or higher for breast cancer. The coverage includes various screening methods such as mammography, magnetic resonance imaging (MRI), and ultrasound, with no cost-sharing for these services. The bill defines "average risk" using specific medical and family history criteria, and ensures that insurers can still apply standard utilization review and policy provisions. The new regulations will apply to health insurance policies filed or renewed 180 days after the act's effective date, which occurs 60 days after passage. Importantly, the bill does not require insurers to cover mastectomy procedures and allows for standard policy deductibles and copayments beyond the mandated minimum coverage.
Committee Categories
Budget and Finance, Business and Industry
Sponsors (43)
Frank Farry (R)*,
Dave Argall (R),
Lisa Baker (R),
Camera Bartolotta (R),
Lisa Boscola (D),
Michele Brooks (R),
Rosemary Brown (R),
Amanda Cappelletti (D),
Maria Collett (D),
Carolyn Comitta (D),
Jay Costa (D),
Marty Flynn (D),
Wayne Fontana (D),
Chris Gebhard (R),
Art Haywood (D),
Vincent Hughes (D),
Scott Hutchinson (R),
John Kane (D),
Tim Kearney (D),
Patty Kim (D),
Wayne Langerholc (R),
Dan Laughlin (R),
James Malone (D),
Scott Martin (R),
Doug Mastriano (R),
Tracy Pennycuick (R),
Kristin Phillips-Hill (R),
Joseph Picozzi (R),
Nickolas Pisciottano (D),
Devlin Robinson (R),
Greg Rothman (R),
Steve Santarsiero (D),
Nikil Saval (D),
Lynda Schlegel-Culver (R),
Judy Schwank (D),
Pat Stefano (R),
Sharif Street (D),
Tina Tartaglione (D),
Elder Vogel (R),
Judy Ward (R),
Kim Ward (R),
Lindsey Williams (D),
Gene Yaw (R),
Last Action
Laid on the table (on 06/25/2025)
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