PennsylvaniaInsurers would cover preeclampsia tests without patient cost-sharing
Once the applicable start dates arrive, Pennsylvania insurers would cover preeclampsia testing for screening or care without charging patients for covered tests.
What it does
Insurers would cover preeclampsia tests to screen people without symptoms and help diagnose or manage people with symptoms, without charging them for covered testing.
Argument forPeople with covered policies could get preeclampsia tests for screening or care without paying deductibles, coinsurance, or copayments.
Argument againstInsurers might pass the cost of covered tests into premiums, which could affect people who buy their own coverage.
More detail
Insurers would cover biomarker testing for preeclampsia without patient cost-sharing. The rule applies to insurers that offer, issue, or renew health insurance policies in Pennsylvania. The coverage must include screening for people without symptoms and diagnosis and management for people with symptoms. Cost-sharing includes deductibles, coinsurance, copayments, and similar charges, but not premiums, out-of-network balance bills, or costs for services the policy does not cover. The act would take effect 180 days after enactment. For policies that require rates or forms to be filed, it would apply when a rate or form is first filed on or after the act takes effect. For policies that require neither filing, it would apply when issued or renewed on or after 180 days after the act takes effect.
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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 2Referred to InsuranceIntroduced
HealthcareGovernment & EthicsForeign Policy