An Act amending the act of May 17, 1921 (P.L.682, No.284), known as The Insurance Company Law of 1921, in comprehensive health care for uninsured children, further providing for contracts and coverage packages and providing for frenectomy services required.

PRINTER'S NO. 1455
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No. 1284
Session of
2025
INTRODUCED BY HILL-EVANS, FREEMAN, KHAN, PIELLI, GUENST,
SANCHEZ, GIRAL, OTTEN, MADDEN, WAXMAN, CERRATO, CEPEDA-
FREYTIZ, D. WILLIAMS, SHUSTERMAN, GREEN AND RIVERA,
APRIL 22, 2025
REFERRED TO COMMITTEE ON INSURANCE, APRIL 22, 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 comprehensive health care for
uninsured children, further providing for contracts and
coverage packages and providing for frenectomy services
required.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. Section 2304-A(e)(9)(vi) of the act of May 17,
1921 (P.L.682, No.284), known as The Insurance Company Law of
1921, is amended to read:
Section 2304-A. Contracts and coverage packages.
* * *
(e) Duties of contractor.--A contractor with whom the
department enters into a contract shall do the following:
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* * *
(9) Subject to any necessary Federal approval, provide
the following minimum coverage package, which may not
conflict with Federal law, regulation or guidance, for
eligible children:
* * *
(vi) Emergency, preventive and routine dental care.
This subparagraph includes frenectomies and other
surgical procedures to treat lip-ties or tongue-ties.
This subparagraph does not include orthodontia or
cosmetic surgery.
* * *
Section 2. The act is amended by adding a section to read:
Section 2304.1-A. Frenectomy services required.
A dental provider who contracts with an insurer awarded a
contract under section 2304-A to provide health care under this
article shall offer frenectomies or other surgical procedures to
treat a lip-tie or tongue-tie as a covered routine dental
service.
Section 3. This act shall take effect in 60 days.
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