An Act providing for insurance coverage for prostheses and orthoses; and imposing duties on the Insurance Department and the Department of Human Services.

PRINTER'S NO. 1796
THE GENERAL ASSEMBLY OF PENNSYLVANIA
SENATE BILL
No. 1360
Session of
2026
INTRODUCED BY TARTAGLIONE, J. WARD, FARRY, HAYWOOD, FONTANA,
PICOZZI, COSTA, SANTARSIERO, VOGEL, BOSCOLA, MILLER,
CAPPELLETTI, FLYNN, PENNYCUICK, COLLETT AND SCHWANK,
JUNE 8, 2026
REFERRED TO INSTITUTIONAL SUSTAINABILITY AND INNOVATION,
JUNE 8, 2026
AN ACT
Providing for insurance coverage for prostheses and orthoses;
and imposing duties on the Insurance Department and the
Department of Human Services.
TABLE OF CONTENTS
Chapter 1. General Provisions
Section 101. Short title.
Section 102. Definitions.
Chapter 3. Insurers
Section 301. Coverage for prostheses and orthoses.
Section 302. Nature of benefits.
Section 303. Determination and prescription.
Section 304. Nondiscriminatory manner.
Section 305. Notification.
Section 306. Financial requirements.
Section 307. Access to other providers.
Section 308. Replacements.
Section 309. Notice by Insurance Department.
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Section 310. Reports.
Section 311. Rules and regulations.
Section 312. Enforcement.
Chapter 5. Government Programs
Section 501. Coverage for prostheses and orthoses.
Section 502. Nature of benefits.
Section 503. Determination and prescription.
Section 504. Nondiscriminatory manner.
Section 505. Notification.
Section 506. Financial requirements.
Section 507. Access to other providers.
Section 508. Replacements.
Section 509. Notice by department.
Section 510. Reports.
Section 511. Rules and regulations.
Section 512. Enforcement.
Chapter 7. Miscellaneous Provisions
Section 701. Construction.
Section 702. Applicability.
Section 703. Effective date.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
CHAPTER 1
GENERAL PROVISIONS
Section 101. Short title.
This act shall be known and may be cited as the So Every BODY
Can Move Act.
Section 102. Definitions.
The following words and phrases when used in this act shall
have the meanings given to them in this section unless the
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context clearly indicates otherwise:
"Cost sharing." The portion of costs paid by an enrollee for
a particular benefit covered by a health insurance policy or MA
or CHIP managed care plan, including deductibles, coinsurance,
copayments or similar charges.
"Department." The Department of Human Services of the
Commonwealth.
"Enrollee." An individual covered under a health insurance
policy or MA or CHIP managed care plan.
"Health insurance policy." As follows:
(1) An individual or group insurance policy, subscriber
contract, certificate or plan offered, issued or renewed by a
health insurer that provides medical or health care coverage,
including emergency services.
(2) The term does not include:
(i) An accident only policy.
(ii) A credit only policy.
(iii) A long-term care or disability income policy.
(iv) A specified disease policy.
(v) A fixed indemnity policy.
(vi) A hospital indemnity policy.
(vii) A dental only policy.
(viii) A vision only policy.
(ix) A workers' compensation policy.
(x) An automobile medical payment policy.
(xi) A homeowners' insurance policy.
(xii) Any other similar policy providing for limited
benefits.
"Health insurer." An entity licensed by the Insurance
Department with accident and health authority to issue a health
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insurance policy that is offered or governed under any of the
following:
(1) The act of May 17, 1921 (P.L.682, No.284), known as
The Insurance Company Law of 1921, including section 630 and
Article XXIV of that act.
(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).
"Medical Assistance or Children's Health Insurance Program
managed care plan" or "MA or CHIP managed care plan." A health
care plan that uses a gatekeeper to manage the utilization of
health care services by medical assistance or children's health
insurance program enrollees and integrates the financing and
delivery of health care services.
"Medical Practice Act." The act of December 20, 1985
(P.L.457, No.112), known as the Medical Practice Act of 1985.
"Medicare fee schedule." The Medicare Durable Medical
Equipment, Prosthetics, Orthotics and Supplies Fee Schedule
established by the Centers for Medicare and Medicaid Services.
"Provider." An individual licensed as a prosthetist,
orthotist, pedorthist or orthotic fitter under section 13.5 of
the Medical Practice Act.
CHAPTER 3
INSURERS
Section 301. Coverage for prostheses and orthoses.
(a) Amount of coverage.--Each health insurance policy
providing coverage for hospital, medical or surgical expenses
must include coverage for prosthetic and custom orthotic
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devices, services, materials and components as described in this
act that:
(1) Equals the coverage and payment provided under
Federal laws and regulations for the aged and people with
disabilities in accordance with:
(i) 42 U.S.C. §§ 1395k (relating to scope of
benefits; definitions), 1395l (relating to payment of
benefits) and 1395m (relating to special payment rules
for particular items and services).
(ii) 42 CFR 410.100 (relating to included services),
414.202 (relating to definitions), 414.210 (relating to
general payment rules) and 414.228 (relating to
prosthetic and orthotic devices).
(2) Equals payment at a rate not less than the current
quarter's Medicare fee schedule for prosthetic and orthotic
items and services in this Commonwealth.
(b) Multiple prostheses and orthoses.--Subject to section
303, benefits under this section shall provide coverage for more
than one prosthetic or custom orthotic device when medically
necessary and shall include coverage for:
(1) A prosthetic or custom orthotic device determined by
the enrollee's provider to be the most appropriate model that
adequately meets the medical needs of the enrollee to restore
or maintain the ability to perform activities of daily living
and essential job-related functions.
(2) In addition to coverage described in paragraph (1),
a prosthetic or custom orthotic device determined by the
enrollee's provider to be the most appropriate model that
meets the medical needs of the enrollee for the purposes of:
(i) performing physical activities, including
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running, biking, swimming and strength training, as
applicable; and
(ii) maximizing whole-body health, including lower
and upper limb function, as applicable.
(3) In addition to coverage described in paragraphs (1)
and (2), a prosthetic or custom orthotic device determined by
the enrollee's provider to be the most appropriate model that
meets the medical needs of the enrollee for purposes of
showering or bathing.
(4) Materials and components necessary for use of a
prosthetic or custom orthotic device described in paragraphs
(1), (2) and (3).
(5) Instruction to the enrollee on the use of a
prosthetic or custom orthotic device described in paragraphs
(1), (2) and (3).
(6) The medically necessary repair or replacement of a
prosthetic or custom orthotic device described in paragraphs
(1), (2) and (3).
Section 302. Nature of benefits.
Any benefits delivered, issued for delivery or renewed in
this Commonwealth by a health insurance policy under section
301:
(1) Shall also be considered rehabilitative and
habilitative services and devices in accordance with 42
U.S.C. § 18022(b) (relating to essential health benefits
requirements).
(2) Shall not constitute an addition to the State's
essential health benefits that requires defrayal of costs by
the State in accordance with 42 U.S.C. § 18031(d)(3)(B)
(relating to affordable choices of health benefit plans).
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Section 303. Determination and prescription.
For covered benefits under section 301(b)(2) or (3), the
physician, podiatrist, certified registered nurse practitioner
or physician assistant of the enrollee shall:
(1) Determine that, as applicable, the additional
prosthetic or custom orthotic device is necessary to meet the
medical needs of the enrollee to:
(i) perform physical activities or maximize whole-
body health, as specified in section 301(b)(2); or
(ii) shower or bathe, as specified in section 301(b)
(3).
(2) Issue a prescription for the additional prosthetic
or custom orthotic device in accordance with section 13.5(c)
of the Medical Practice Act.
Section 304. Nondiscriminatory manner.
A health insurer:
(1) Shall render utilization review determinations in a
nondiscriminatory manner.
(2) May not deny coverage for prosthetic or custom
orthotic devices solely on the basis of an enrollee's actual
or perceived disability.
(3) May not deny a prosthetic or orthotic benefit for an
enrollee with limb loss or absence that would otherwise be
covered for a person without a disability seeking medical or
surgical intervention to restore or maintain the ability to
perform the same physical activity.
Section 305. Notification.
(a) Provision.--A health insurer shall supply each enrollee
annually and, upon written request, each enrollee or health care
provider with the following written notification of the benefits
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specified under section 301 and the rights specified under
section 304. The information shall be easily understandable by
the layperson.
(b) Adverse benefit determination.--Following an adverse
benefit determination based on medical necessity and prior to
any appeal of an adverse benefit determination, a health insurer
shall provide an enrollee or enrollee's authorized
representative with a denial in writing. The denial shall
include clear reasoning and descriptions as to why the standard
of medical necessity has not been met.
Section 306. Financial requirements.
(a) Prohibition.--Any benefits delivered, issued for
delivery or renewed in this Commonwealth by a health insurance
policy under section 301 shall not subject an enrollee to
separate financial requirements that are applicable only with
respect to that coverage.
(b) Cost sharing.--Any cost-sharing requirements imposed by
a health insurance policy shall not be more restrictive than the
cost-sharing requirements applicable to the health insurance
policy's coverage for inpatient physician and surgical services.
Section 307. Access to other providers.
(a) General rule.--Except as provided in subsection (b), a
health insurer shall ensure access to at least two distinct
providers that are located in this Commonwealth and capable of
providing the benefits required under section 301 within their
network.
(b) Exception.--
(1) Subject to paragraph (2), nothing in subsection (a)
shall:
(i) Require a health insurer that has a network of
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providers to provide benefits covered under section 301
that are delivered by an out-of-network provider.
(ii) Preclude a health insurer that has a network of
providers from imposing cost-sharing requirements for
care covered under section 301 that is delivered by an
out-of-network provider.
(2) If a health insurer does not have in its network a
provider that can provide care covered under section 301, the
health insurer shall cover the care when performed by an out-
of-network provider and may not impose cost sharing with
respect to the care.
Section 308. Replacements.
(a) Necessity.--A health insurer shall issue payment for the
replacement of a prosthetic or custom orthotic device or for the
replacement of any part of the device without regard to
continuous use or useful lifetime restrictions if a provider
determines that the replacement device, or a replacement of part
of the device, is necessary because of any of the following:
(1) A change in the physiological condition of the
enrollee.
(2) An irreparable change in the condition of the device
or in a part of the device.
(3) The condition of the device, or the part of the
device, requires repairs and the cost of the repairs would be
more than 60% of the cost of a replacement device or of the
part being replaced.
(b) Determination and prescription.--A health insurer may
require a physician, podiatrist, certified registered nurse
practitioner or physician assistant to confirm a determination
made by the provider under subsection (a) and issue a
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prescription in accordance with section 13.5(c) of the Medical
Practice Act if the prosthetic or custom orthotic device or part
being replaced is less than three years old.
Section 309. Notice by Insurance Department.
(a) Development of notice.--The Insurance Department shall
develop a notice that includes all of the following:
(1) A summary of the new duties and requirements imposed
on health insurers and health insurance policies by this act
and the dates by which the new duties and requirements take
effect.
(2) An estimated timeline of any temporary or permanent
rules and regulations that the department may issue,
promulgate or adopt as authorized under section 311.
(3) Any information or guidance not included in
paragraph (1) or (2) that is necessary for a health insurer
to comply with the provisions of this act.
(b) Posting and distribution of notice.--With respect to the
notice under subsection (a), no later than 30 days after the
effective date of this subsection, the Insurance Department
shall:
(1) Post the notice on its publicly accessible Internet
website.
(2) Provide the notice to all health insurers subject to
this act.
Section 310. Reports.
(a) Annual reports required.--No later than January 1, 2028,
and each January 1 thereafter, each health insurer subject to
this chapter shall report to the Insurance Department on its
experience in accordance with the requirements of this act for
the previous year.
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(b) Contents.--Each report under subsection (a) must be in a
form developed by the Insurance Department and must include the
total number of claims and the total amount of claims paid in
this Commonwealth for the services required by this act.
(c) Aggregation of data.--No later than April 1, 2028, and
each April 1 thereafter, the Insurance Department shall
aggregate the data under subsection (b) for the previous year
into an annual report and shall:
(1) Submit the report to the Legislative Reference
Bureau for publication in the next available issue of the
Pennsylvania Bulletin.
(2) Post the report on the publicly accessible Internet
website of the Insurance Department.
Section 311. Rules and regulations.
(a) Authorization.--The Insurance Department may promulgate
or adopt rules and regulations as may be necessary and
appropriate to carry out the provisions of this act.
(b) Temporary regulations.--
(1) To facilitate the prompt implementation of this act,
the Insurance Department may issue temporary regulations. The
following shall apply to temporary regulations:
(i) The Insurance Department must issue the
temporary regulations within six months of the effective
date of this subparagraph. Regulations adopted after this
six-month period shall be promulgated as provided by
statute.
(ii) Notice of the temporary regulations shall be
transmitted to the Legislative Reference Bureau for
publication in the next available issue of the
Pennsylvania Bulletin.
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(iii) The Insurance Department shall post its
temporary regulations on its publicly accessible Internet
website.
(iv) The temporary regulations shall expire no later
than two years following publication of the temporary
regulations in the Pennsylvania Bulletin.
(2) The temporary regulations under paragraph (1) shall
be exempt from the following:
(i) Section 612 of the act of April 9, 1929
(P.L.177, No.175), known as The Administrative Code of
1929.
(ii) Sections 201, 202, 203, 204 and 205 of the act
of July 31, 1968 (P.L.769, No.240), referred to as the
Commonwealth Documents Law.
(iii) Sections 204(b) and 301(10) of the act of
October 15, 1980 (P.L.950, No.164), known as the
Commonwealth Attorneys Act.
(iv) The act of June 25, 1982 (P.L.633, No.181),
known as the Regulatory Review Act.
(c) Permanent regulations.--Prior to the expiration of the
temporary regulations, the Insurance Department shall propose
for approval permanent regulations as provided by statute.
Section 312. Enforcement.
The Insurance Department shall enforce the provisions of this
chapter for health insurers in accordance with the act of July
22, 1974 (P.L.589, No.205), known as the Unfair Insurance
Practices Act.
CHAPTER 5
GOVERNMENT PROGRAMS
Section 501. Coverage for prostheses and orthoses.
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(a) Amount of coverage.--MA and CHIP managed care plans
providing coverage for hospital, medical or surgical expenses
must include coverage for prosthetic and custom orthotic
devices, services, materials and components as described in this
act that:
(1) Equals the coverage and payment provided under
Federal laws and regulations for the aged and people with
disabilities in accordance with:
(i) 42 U.S.C. §§ 1395k (relating to scope of
benefits; definitions), 1395l (relating to payment of
benefits) and 1395m (relating to special payment rules
for particular items and services).
(ii) 42 CFR 410.100 (relating to included services),
414.202 (relating to definitions), 414.210 (relating to
general payment rules) and 414.228 (relating to
prosthetic and orthotic devices).
(2) Equals payment at a rate not less than the current
quarter's Medicare fee schedule for prosthetic and orthotic
items and services in this Commonwealth.
(b) Update.--The department shall update the medical
assistance fee-for-service program to include all codes for
prosthetic and custom orthotic devices and services listed in
the current quarter's Medicare fee schedule.
(c) Multiple prostheses and orthoses.--Subject to section
503, benefits under this section shall provide coverage for more
than one prosthetic or custom orthotic device when medically
necessary and shall include coverage for:
(1) A prosthetic or custom orthotic device determined by
the enrollee's provider to be the most appropriate model that
adequately meets the medical needs of the enrollee to restore
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or maintain the ability to perform activities of daily living
and essential job-related functions.
(2) In addition to coverage described in paragraph (1),
a prosthetic or custom orthotic device determined by the
enrollee's provider to be the most appropriate model that
meets the medical needs of the enrollee for the purposes of:
(i) performing physical activities, including
running, biking, swimming and strength training, as
applicable; and
(ii) maximizing whole-body health, including lower
and upper limb function, as applicable.
(3) In addition to coverage described in paragraphs (1)
and (2), a prosthetic or custom orthotic device determined by
the enrollee's provider to be the most appropriate model that
meets the medical needs of the enrollee for purposes of
showering or bathing.
(4) All materials and components necessary for use of a
prosthetic or custom orthotic device described in paragraphs
(1), (2) and (3).
(5) Instruction to the enrollee on the use of a
prosthetic or custom orthotic device described in paragraphs
(1), (2) and (3).
(6) The medically necessary repair or replacement of a
prosthetic or custom orthotic device described in paragraphs
(1), (2) and (3).
Section 502. Nature of benefits.
Any benefits delivered, issued for delivery or renewed in
this Commonwealth by an MA and CHIP managed care plan under
section 501:
(1) Shall also be considered rehabilitative and
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habilitative services and devices in accordance with 42
U.S.C. § 18022(b) (relating to essential health benefits
requirements).
(2) Shall not constitute an addition to the State's
essential health benefits that requires defrayal of costs by
the State in accordance with 42 U.S.C. § 18031(d)(3)(B)
(relating to affordable choices of health benefit plans).
Section 503. Determination and prescription.
For covered benefits under section 501(c)(2) or (3), the
physician, podiatrist, certified registered nurse practitioner
or physician assistant of the enrollee shall:
(1) Determine that, as applicable, the additional
prosthetic or custom orthotic device is necessary to meet the
medical needs of the enrollee to:
(i) perform physical activities or maximize whole-
body health, as specified in section 501(c)(2); or
(ii) shower or bathe, as specified in section 501(c)
(3).
(2) Issue a prescription for the additional prosthetic
or custom orthotic device in accordance with section 13.5(c)
of the Medical Practice Act.
Section 504. Nondiscriminatory manner.
An MA and CHIP managed care plan:
(1) Shall render utilization review determinations in a
nondiscriminatory manner.
(2) May not deny coverage for prosthetic or custom
orthotic devices solely on the basis of an enrollee's actual
or perceived disability.
(3) May not deny a prosthetic or orthotic benefit for an
enrollee with limb loss or absence that would otherwise be
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covered for a person without a disability seeking medical or
surgical intervention to restore or maintain the ability to
perform the same physical activity.
Section 505. Notification.
(a) Provision.--An MA and CHIP managed care plan shall
supply each enrollee annually and, upon written request, each
enrollee or health care provider with the following written
notification of the benefits specified under section 501 and the
rights specified under section 504. The information shall be
easily understandable by the layperson.
(b) Adverse benefit determination.--Following an adverse
benefit determination based on medical necessity and prior to
any appeal of an adverse benefit determination, an MA and CHIP
managed care plan shall provide an enrollee or enrollee's
authorized representative with a denial in writing. The denial
shall include clear reasoning and descriptions as to why the
standard of medical necessity has not been met.
Section 506. Financial requirements.
(a) Prohibition.--Any benefits delivered, issued for
delivery or renewed in this Commonwealth by an MA and CHIP
managed care plan under section 501 shall not subject an
enrollee to separate financial requirements that are applicable
only with respect to that coverage.
(b) Cost sharing.--Any cost-sharing requirements imposed by
an MA and CHIP managed care plan shall not be more restrictive
than the cost-sharing requirements applicable to the MA and CHIP
managed care plan's coverage for inpatient physician and
surgical services.
Section 507. Access to other providers.
(a) General rule.--Except as provided in subsection (b), an
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MA and CHIP managed care plan shall ensure access to at least
two distinct providers that are located in this Commonwealth and
capable of providing the benefits required under section 501
within their network.
(b) Exception.--
(1) (i) Subject to paragraph (2), nothing in subsection
(a) shall:
(A) Require an MA and CHIP managed care plan
that has a network of providers to provide benefits
covered under section 501 that are delivered by an
out-of-network provider.
(B) Preclude an MA and CHIP managed care plan
that has a network of providers from imposing cost-
sharing requirements for care covered under section
501 that is delivered by an out-of-network provider.
(ii) If an MA and CHIP managed care plan does not
have in its network a provider that can provide care
covered under section 501, the MA and CHIP managed care
plan shall cover the care when performed by an out-of-
network provider and may not impose cost sharing with
respect to the care.
(2) Nothing in this section shall be construed as
limiting an enrollee's ability to receive care under section
501 from a health care provider in accordance with 42 CFR
431.51 (relating to free choice of providers).
Section 508. Replacements.
(a) Necessity.--An MA and CHIP managed care plan shall issue
payment for the replacement of a prosthetic or custom orthotic
device or for the replacement of any part of the device without
regard to continuous use or useful lifetime restrictions if a
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provider determines that the replacement device, or a
replacement of part of the device, is necessary because of any
of the following:
(1) A change in the physiological condition of the
enrollee.
(2) An irreparable change in the condition of the device
or in a part of the device.
(3) The condition of the device, or the part of the
device, requires repairs and the cost of the repairs would be
more than 60% of the cost of a replacement device or of the
part being replaced.
(b) Determination and prescription.--An MA and CHIP managed
care plan may require a physician, podiatrist, certified
registered nurse practitioner or physician assistant to confirm
a determination made by the provider under subsection (a) and
issue a prescription in accordance with section 13.5(c) of the
Medical Practice Act if the prosthetic or custom orthotic device
or part being replaced is less than three years old.
Section 509. Notice by department.
(a) Development of notice.--The department shall develop a
notice that includes all of the following:
(1) A summary of the new duties and requirements imposed
on an MA or CHIP managed care plan by this act and the dates
by which the new duties and requirements take effect.
(2) An estimated timeline of any temporary or permanent
rules and regulations that the department may issue,
promulgate or adopt as authorized under section 511.
(3) Any information or guidance not included in
paragraph (1) or (2) that is necessary for an MA or CHIP
managed care plan or any other organization subject to the
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department's enforcement authority under this act to comply
with the provisions of this act.
(b) Posting and distribution of notice.--With respect to the
notice under subsection (a), no later than 30 days after the
effective date of this subsection, the department shall:
(1) Post the notice on its publicly accessible Internet
website.
(2) Provide the notice to each MA or CHIP managed care
plan that is a party to a managed care contract with the
department and any other organizations subject to the
department's enforcement authority under this act.
Section 510. Reports.
(a) Annual reports required.--No later than January 1, 2028,
and each January 1 thereafter, each MA or CHIP managed care plan
subject to this act shall report to the department on its
experience in accordance with the requirements of this act for
the previous year.
(b) Contents.--Each report under subsection (a) must be in a
form developed by the department and must include the total
number of claims and the total amount of claims paid in this
Commonwealth for the services required by this act.
(c) Aggregation of data.--No later than April 1, 2028, and
each April 1 thereafter, the department shall aggregate the data
under subsection (b) for the previous year into an annual report
and shall:
(1) Submit the report to the Legislative Reference
Bureau for publication in the next available issue of the
Pennsylvania Bulletin.
(2) Post the report on the publicly accessible Internet
website of the department.
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Section 511. Rules and regulations.
(a) Authorization.--The department may promulgate or adopt
rules and regulations as may be necessary and appropriate to
carry out the provisions of this act.
(b) Temporary regulations.--
(1) To facilitate the prompt implementation of this act,
the department may issue temporary regulations. The following
shall apply to temporary regulations:
(i) The department must issue the temporary
regulations within six months of the effective date of
this subsection. Regulations adopted after this six-month
period shall be promulgated as provided by statute.
(ii) Notice of the temporary regulations shall be
transmitted to the Legislative Reference Bureau for
publication in the next available issue of the
Pennsylvania Bulletin.
(iii) The department shall post its temporary
regulations on its publicly accessible Internet website.
(iv) The temporary regulations shall expire no later
than two years following publication of the temporary
regulations in the Pennsylvania Bulletin.
(2) The temporary regulations under paragraph (1) shall
be exempt from the following:
(i) Section 612 of the act of April 9, 1929
(P.L.177, No.175), known as The Administrative Code of
1929.
(ii) Sections 201, 202, 203, 204 and 205 of the act
of July 31, 1968 (P.L.769, No.240), referred to as the
Commonwealth Documents Law.
(iii) Sections 204(b) and 301(10) of the act of
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October 15, 1980 (P.L.950, No.164), known as the
Commonwealth Attorneys Act.
(iv) The act of June 25, 1982 (P.L.633, No.181),
known as the Regulatory Review Act.
(c) Permanent regulations.--Prior to the expiration of the
temporary regulations, the department shall propose for approval
permanent regulations as provided by statute.
Section 512. Enforcement.
The department shall enforce this act by:
(1) Following the complaint procedures under 55 Pa. Code
§ 107.4(c) (relating to procedures to assure
nondiscrimination of participating agencies, institutions,
organizations and vendors) for complaints arising under this
act.
(2) Ensuring that providers receiving medical assistance
payments are not engaged in activities prohibited by 55 Pa.
Code § 1101.75 (relating to provider prohibited acts).
CHAPTER 7
MISCELLANEOUS PROVISIONS
Section 701. Construction.
Nothing in this act shall be construed to:
(1) Limit benefits otherwise available to an enrollee
under a health insurance policy or MA or CHIP managed care
plan.
(2) Supersede the provisions of the Medical Practice Act
or section 443.6 of the act of June 13, 1967 (P.L.31, No.21),
known as the Human Services Code.
Section 702. Applicability.
This act shall apply as follows:
(1) For health insurance policies for which either rates
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or forms are required to be filed with the Federal Government
or the Insurance Department, this act shall apply to any
policy for which a form or rate is first filed on or after
the effective date of this section.
(2) For health insurance policies for which neither
rates nor forms are required to be filed with the Federal
Government or the Insurance Department, this act shall apply
to any policy issued or renewed on or after the effective
date of this section.
Section 703. Effective date.
This act shall take effect in 60 days.
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