Bill > SB901

This bill establishes a new chapter in Pennsylvania insurance law requiring insurers to provide clear, transparent information about addiction treatment coverage. Specifically, insurers must send a two-page notice to members twice per year that explains addiction treatment services covered under their policies. The notice must use non-technical language and detail the available treatment levels (such as hospital and non-hospital detoxification, residential rehabilitation, outpatient care, and halfway houses), lengths of stay for each care level, how to access services, the appeals process, and potential public funding options. Before distributing the notice, insurers must submit it to the Department of Drug and Alcohol Programs for review by a panel of representatives from various organizations. The departments will have 45 days to approve the notice, and they will jointly mediate any language disputes. Insurers who fail to comply with these notification requirements may face administrative penalties determined by the department. The bill aims to improve transparency and help individuals better understand their addiction treatment coverage, making it easier to access necessary medical services.

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https://www.legis.state.pa.us/cfdocs/billinfo/bill_history.cfm?syear=2025&sind=0&body=S&type=B&bn=901