PennsylvaniaPennsylvania health insurers would cover vaginal estrogen for menopause symptoms
Covered Pennsylvania health insurers would cover vaginal estrogen for menopause symptoms and urinary tract infection prevention, while patients could still owe part of the cost.
What it does
Covered Pennsylvania health insurers would cover vaginal estrogen to treat menopause symptoms and prevent urinary tract infections. Patients could still owe deductibles or copayments, and insurers could review whether treatment is needed.
Argument forRequired coverage could help insured patients access vaginal estrogen to treat menopause symptoms and prevent urinary tract infections.
Argument againstRequiring coverage of every approved vaginal estrogen product could limit insurers' flexibility to choose which products their plans cover.
More detail
Insurers would cover all FDA-approved drugs, devices, and combination products used to provide or administer vaginal estrogen. The requirement covers medical insurance policies. It excludes Medicare supplements, TRICARE, and the listed policies that provide limited benefits or cover other kinds of risks. Coverage would follow the policy's rules about whether treatment is medically needed, patient payments, and insurer reviews of care. The requirement covers policies offered, issued, or renewed in Pennsylvania after the act's effective date. The act would take effect 90 days after enactment. For policies requiring state filings, it would apply when a rate or form is first filed on or after that date. Other policies would be covered when issued or renewed on or after 180 days from that date.
Where do you stand?
Choose your position
Tell your reps
Take a position to see your representatives and ways to contact them.
Where it stands
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Oct 27Referred to Banking & InsuranceLatest
- Oct 21Third consideration and final passagePassed House
- Vote recorded FINAL PASSAGE. Result: pass.Lower
- Vote recorded Committee vote (Appropriations): Re-report Bill As Committed. Result: pass.Lower
- Oct 21Re-reported as committedMinor
- Oct 20Re-committed to AppropriationsMinor
- Oct 20Second considerationMinor
- Oct 19Removed from table
- Sep 29Laid on the table
- Vote recorded Committee vote (Aging & Older Adult Services): Report Bill As Amended. Result: pass.Lower
- Vote recorded Committee vote (Aging & Older Adult Services): Adopt Amendment A04309. Result: pass.Lower
- Sep 29First considerationMinor
- Sep 29Reported as amendedMajor
- Jun 24Re-referred to Aging & Older Adult ServicesMinor
- Vote recorded Committee vote (Insurance): Re-refer Bill To Another Committee. Result: pass.Lower
- Jun 24Reported with request to re-refer to Aging & Older Adult ServicesMinor
- May 27Referred to InsuranceIntroduced
Healthcare