PennsylvaniaCovered Pennsylvania health plans would cover menopause treatments
If adopted, covered Pennsylvania health plans would begin covering approved menopause treatments as they file rates or forms or renew coverage.
What it does
Covered health plans would cover approved menopause drugs and devices, behavioral therapy, and therapy for menopause caused by a hysterectomy. Policy rules on medical need, costs, and service review would still apply.
Argument forPeople with covered plans could get help paying for approved menopause treatments, including medicines, devices, and behavioral therapy.
Argument againstPeople could still pay deductibles or copayments, and plans could review whether treatment is medically needed before covering it.
More detail
Covered health plans would cover menopause treatments. This would apply to covered medical and health plans offered in Pennsylvania, but not limited-benefit policies such as dental-only, vision-only, or workers' compensation policies. Coverage would remain subject to policy rules for medical need, cost-sharing, and review of services. The bill would take effect in 60 days. For plans that must file rates or forms, the rule would apply when a form or rate is first filed on or after its effective date; other plans would be covered when issued or renewed on or after 180 days after that date.
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Where it stands
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Oct 26Referred to Banking & InsuranceLatest
- Oct 7Third 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 7Re-reported as committedMinor
- Oct 6Re-committed to AppropriationsMinor
- Oct 6Second considerationMinor
- Oct 5Removed 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 A04311. 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
- 2025
- May 5Referred to InsuranceIntroduced
Healthcare