An Act amending the act of May 17, 1921 (P.L.682, No.284), known as The Insurance Company Law of 1921, in casualty insurance, providing for coverage for blood pressure monitors.

PRINTER'S NO. 1205
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No. 1088
Session of
2025
INTRODUCED BY STEELE, FIEDLER, DONAHUE, GIRAL, HILL-EVANS,
SANCHEZ, PROBST, HANBIDGE, MADDEN, POWELL, BOROWSKI, HOWARD,
SCHLOSSBERG, OTTEN, HOHENSTEIN, CERRATO, MALAGARI, CURRY,
O'MARA, SHUSTERMAN, BELLMON AND RIVERA, APRIL 1, 2025
REFERRED TO COMMITTEE ON INSURANCE, APRIL 1, 2025
AN ACT
Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An
act relating to insurance; amending, revising, and
consolidating the law providing for the incorporation of
insurance companies, and the regulation, supervision, and
protection of home and foreign insurance companies, Lloyds
associations, reciprocal and inter-insurance exchanges, and
fire insurance rating bureaus, and the regulation and
supervision of insurance carried by such companies,
associations, and exchanges, including insurance carried by
the State Workmen's Insurance Fund; providing penalties; and
repealing existing laws," in casualty insurance, providing
for coverage for blood pressure monitors.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. The act of May 17, 1921 (P.L.682, No.284), known
as The Insurance Company Law of 1921, is amended by adding a
section to read:
Section 635.11. Coverage for Blood Pressure Monitors.--(a)
A health insurance policy that is offered, issued or renewed in
this Commonwealth shall provide coverage, including
reimbursement, for medically necessary blood pressure monitors
for pregnant or postpartum insureds for each pregnancy.
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(b) As used in this section:
"Health insurance policy" means a policy, subscriber
contract, certificate or plan issued by a health insurer that
provides medical or health care coverage. The term does not
include any of the following:
(1) An accident only policy.
(2) A credit only policy.
(3) A long-term care or disability income policy.
(4) A specified disease policy.
(5) A Medicare supplement policy.
(6) A fixed indemnity policy.
(7) A hospital indemnity policy.
(8) A dental only policy.
(9) A vision only policy.
(10) A workers' compensation policy.
(11) An automobile medical payment policy.
(12) A policy under which benefits are provided by the
Federal Government to active or former military personnel and
their dependents.
(13) Any other similar policy providing for limited
benefits.
"Insurer" means an entity licensed by the department that
offers, issues or renews an individual or group health insurance
policy that is offered or governed under any of the following:
(1) This act, including section 630 and Article XXIV.
(2) The act of December 29, 1972 (P.L.1701, No.364), known
as the "Health Maintenance Organization Act."
(3) 40 Pa.C.S. Ch. 61 (relating to hospital plan
corporations) or 63 (relating to professional health services
plan corporations).
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"Postpartum" means within one year of delivery or the end of
pregnancy.
Section 2. The following shall apply:
(1) For a health insurance policy for which either rates
or forms are required to be filed with the Federal Government
or the Insurance Department, section 635.11 of the act shall
apply to a policy for which a form or rate is first filed on
or after the effective date of this paragraph.
(2) For a health insurance policy for which neither
rates nor forms are required to be filed with the Federal
Government or the Insurance Department, section 635.11 of the
act shall apply to a policy issued or renewed on or after 180
days after the effective date of this paragraph.
Section 3. This act shall take effect in 60 days.
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