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| THE GENERAL ASSEMBLY OF PENNSYLVANIA |
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| HOUSE BILL |
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| INTRODUCED BY GIBBONS, BRENNAN, D. COSTA, FABRIZIO, FREEMAN, GEORGE, GRUCELA, HARHAI, JOSEPHS, KORTZ, KULA, McGEEHAN, McILVAINE SMITH, MELIO, MOUL, M. O'BRIEN, REICHLEY, SIPTROTH, WANSACZ, WHITE AND YOUNGBLOOD, MARCH 17, 2009 |
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| REFERRED TO COMMITTEE ON INSURANCE, MARCH 17, 2009 |
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| AN ACT |
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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 insurance coverage of |
12 | home health care following chemotherapy. |
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 633.1. Home Health Care Following Chemotherapy.--(a) |
19 | (1) A health insurance policy delivered, issued, executed or |
20 | renewed in this Commonwealth on or after the effective date of |
21 | this section shall provide coverage for home health care visits |
22 | following in-hospital or outpatient chemotherapy treatment for |
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1 | the length of time that the treating physician determines is |
2 | necessary. |
3 | (2) Coverage under this section shall remain subject to any |
4 | copayment, coinsurance or deductible amounts set forth in the |
5 | policy. |
6 | (3) An insurer may not deny a patient eligibility or |
7 | continued eligibility to enroll or to renew coverage under the |
8 | terms of the health insurance policy solely for the purpose of |
9 | avoiding the requirements of this act. |
10 | (b) This section shall not apply to the following types of |
11 | policies: |
12 | (1) Accident only. |
13 | (2) Limited benefit. |
14 | (3) Credit. |
15 | (4) Dental. |
16 | (5) Vision. |
17 | (6) Specified disease. |
18 | (7) Medicare supplement. |
19 | (8) Civilian Health and Medical Program of the Uniformed |
20 | Services (CHAMPUS) supplement. |
21 | (9) Long-term care or disability income. |
22 | (10) Workers' compensation. |
23 | (11) Automobile medical payment. |
24 | (c) (1) The term "health insurance policy" when used in |
25 | this section means any individual or group health insurance |
26 | policy, subscriber contract, certificate or plan which provides |
27 | medical or health care coverage by any health care facility or |
28 | licensed health care provider which is offered by or is governed |
29 | under this act or any of the following: |
30 | (i) Subarticle (f) of Article IV of the act of June 13, 1967 |
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1 | (P.L.31, No.21), known as the "Public Welfare Code." |
2 | (ii) The act of December 29, 1972 (P.L.1701, No.364), known |
3 | as the "Health Maintenance Organization Act." |
4 | (iii) The act of May 18, 1976 (P.L.123, No.54), known as the |
5 | "Individual Accident and Sickness Insurance Minimum Standards |
6 | Act." |
7 | (iv) A nonprofit corporation subject to 40 Pa.C.S. Ch. 61 |
8 | (relating to hospital plan corporations) or 63 (relating to |
9 | professional health services plan corporations). |
10 | (2) The term "insurer" when used in this section means any |
11 | entity that issues an individual or group health insurance |
12 | policy, contract or plan described under clause (1) of this |
13 | subsection. |
14 | Section 2. This act shall take effect in 60 days. |
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