Health plans would cover testing for children with CVI

Health insurance policies would have to cover testing for cortical visual impairment in children. The requirement would apply to health insurance policies issued in Pennsylvania, but not limited-benefit plans such as accident-only, dental-only, vision-only, workers’ compensation, or Medicare supplement policies. Coverage would remain subject to the policy’s medical-necessity rules, cost-sharing, and utilization review. CVI testing would include an eye examination, magnetic resonance imaging, ophthalmic electrophysiology, genetic testing, or neuropsychological assessments. The act would take effect 90 days after enactment. For policies subject to rate or form filings, the requirement would apply when a form or rate is first filed on or after 180 days after the effective date of the relevant paragraph; for other policies, it would apply when issued or renewed on or after that 180-day point.