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Pennsylvania House Bill 404 Establishes State-Level Dependent Coverage Mandates for Insurance Policies

Original title: 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, further providing for conditions subject to which policies are to be issued and for health insurance coverage for certain children of insured parents.

Last action · March 25, 2025: Referred to BANKING AND INSURANCE, March 25, 2025Sponsors: Eddie Pashinski and 54 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

House Bill 404 establishes state-level health insurance requirements ensuring that family policies can cover dependents up to age twenty-six and allowing continued coverage up to age twenty-nine under certain group policies at the employee's expense. The measure is designed to serve as a contingent substitute coverage requirement that takes effect if federal dependent health insurance provisions under 42 U.S.C. § 300gg-14 are repealed, invalidated, or unenforced.

Why it matters

The measure establishes a statutory fallback mechanism for state insurance regulations, ensuring that rules remain in place under Pennsylvania law if federal health care mandates are altered or removed by Congress, the courts, or the executive branch.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Insured parents and policyholders

Policyholders are granted the right to maintain dependent coverage for children up to age twenty-six and may opt to pay for continued coverage for adult children up to age twenty-nine.

Directly affected

Insurers operating in Pennsylvania

Insurers must comply with updated dependent coverage mandates, refrain from restricting coverage based on specified personal factors, and adjust premium determinations when continuation provisions are triggered.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What age limit does House Bill 404 establish for general dependent child health insurance coverage?
The bill requires health insurance policies providing to make it available for adult children who have not attained the age of twenty-six.
Can insurers deny coverage to a dependent based on their employment or marital status?
No, the bill explicitly prohibits insurers from denying or restricting based on the child's financial dependency, residency, marital status, academic or vocational enrollment, or employment status.
Under what conditions does the main body of this act take effect?
The substantive provisions take effect upon publication of a notice by the Insurance Commissioner in the Pennsylvania Bulletin indicating that the federal statute (42 U.S.C. § 300gg-14) has been repealed, invalidated, or left unenforced by the federal government.

What else do you want to know?

News Coverage

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Where This Stands

Currently passed chamber. The next step in the legislative lifecycle is Law.

Procedural history

11 actions
  1. Mar 25, 2025SenateCommittee
    Referred to BANKING AND INSURANCE, March 25, 2025
  2. Mar 25, 2025Senate
    In the Senate
  3. Mar 25, 2025HouseFloor
    Third consideration and final passage, March 25, 2025 (123-79)
  4. Mar 25, 2025HouseCommittee
    Re-reported as committed, March 25, 2025
  5. Mar 24, 2025House
    Re-committed to APPROPRIATIONS, March 24, 2025
  6. Mar 24, 2025HouseFloor
    Second consideration, March 24, 2025
Show 5 earlier actions
  1. Mar 19, 2025House
    Removed from table, March 19, 2025
  2. Mar 17, 2025House
    Laid on the table, March 17, 2025
  3. Mar 17, 2025HouseIntroduced
    First consideration, March 17, 2025
  4. Mar 17, 2025HouseCommittee
    Reported as committed, March 17, 2025
  5. Jan 29, 2025HouseCommittee
    Referred to INSURANCE, Jan. 29, 2025

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Show 50 more sponsors
SIEGELHouse · District 22DCosponsorNo profile match

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift98% confidence

Contingent State-Level Backup Legislation

The bill is explicitly structured to remain dormant until a specific federal repeal, court invalidation, or enforcement failure occurs regarding 42 U.S.C. § 300gg-14, acting as an insurance policy for state-level consumer protections.

Connected Entities

State Workmen's Insurance Fund, General Assembly of the Commonwealth of Pennsylvania, Legislative Reference Bureau and 1 more
OrganizationState Workmen's Insurance Fund“Mentioned in the historical title of The Insurance Company Law of 1921.”Map →
OrganizationGeneral Assembly of the Commonwealth of Pennsylvania“Enacting legislative body for the bill.”Map →
OrganizationLegislative Reference Bureau“Receives notice for publication in the Pennsylvania Bulletin.”Map →
PersonInsurance Commissioner“Required to transmit notice to the Legislative Reference Bureau upon specific fe”Map →

Sources

Open source document

www.palegis.us

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy20
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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