Bill > SB1122

This bill mandates comprehensive menopause treatment coverage for health insurance policies in Pennsylvania, requiring insurers to cover hormonal and non-hormonal treatments for managing menopausal symptoms. Specifically, the bill requires coverage for FDA-approved drugs and devices related to menopause, behavioral therapy to help individuals cope with symptoms, and treatments 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 changes, and sleep disturbances. The legislation applies to most health insurance policies, with exceptions for specialized policies like accident-only, dental, vision, and workers' compensation plans. Coverage will be subject to standard insurance policy terms such as medical necessity and cost-sharing provisions. The bill will take effect 60 days after passage, with implementation timelines varying based on whether insurance policies require rate or form filings with the Insurance Department, ensuring that most policies will incorporate these new menopause treatment coverage requirements within 180 days.

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https://www.palegis.us/legislation/bills/2025/sb1122