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                                                       PRINTER'S NO. 871

THE GENERAL ASSEMBLY OF PENNSYLVANIA


SENATE BILL

No. 779 Session of 2001


        INTRODUCED BY O'PAKE, WAGNER, LOGAN, MUSTO, BODACK, TARTAGLIONE,
           COSTA, LAVALLE, HUGHES, TILGHMAN, GREENLEAF, MELLOW, RHOADES,
           STOUT, STACK, SCHWARTZ, BOSCOLA AND WILLIAMS, APRIL 4, 2001

        REFERRED TO BANKING AND INSURANCE, APRIL 4, 2001

                                     AN ACT

     1  Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An
     2     act relating to insurance; amending, revising, and
     3     consolidating the law providing for the incorporation of
     4     insurance companies, and the regulation, supervision, and
     5     protection of home and foreign insurance companies, Lloyds
     6     associations, reciprocal and inter-insurance exchanges, and
     7     fire insurance rating bureaus, and the regulation and
     8     supervision of insurance carried by such companies,
     9     associations, and exchanges, including insurance carried by
    10     the State Workmen's Insurance Fund; providing penalties; and
    11     repealing existing laws," providing for health insurance
    12     reimbursement for prostate specific antigen examinations.

    13     The General Assembly of the Commonwealth of Pennsylvania
    14  hereby enacts as follows:
    15     Section 1.  The act of May 17, 1921 (P.L.682, No.284), known
    16  as The Insurance Company Law of 1921, is amended by adding a
    17  section to read:
    18     Section 635.2.  Coverage for Prostate Specific Antigen
    19  Examinations.--All group or individual health or sickness or
    20  accident insurance policies providing hospital or
    21  medical/surgical coverage and all group or individual subscriber
    22  contracts or certificates issued by any entity subject to 40


     1  Pa.C.S. Ch. 61 (relating to hospital plan corporations) or 63
     2  (relating to professional health services plan corporations),
     3  this act, the act of December 29, 1972 (P.L.1701, No.364), known
     4  as the "Health Maintenance Organization Act" or an employe
     5  welfare benefit plan as defined in section 3 of the Employee
     6  Retirement Income Security Act of 1974 (Public Law 93-406, 88
     7  Stat. 829) providing hospital or medical/surgical coverage shall
     8  also provide coverage for prostate specific antigen (PSA)
     9  examinations. The minimum coverage required shall include all
    10  costs associated with a PSA examination every year for men fifty
    11  years of age or older and with any PSA examination based on a
    12  physician's recommendation for men under fifty years of age.
    13     Section 2.  This act shall take effect in 60 days.












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