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House Bill 755 establishes state-level insurance coverage and zero cost-sharing requirements for preventive health services

Original title: An Act providing for health care insurance preventive services coverage protections; conferring authority on the Insurance Department and the Insurance Commissioner; and providing for regulations, for enforcement and for penalties.

Last action · March 25, 2025: Referred to BANKING AND INSURANCE, March 25, 2025Sponsors: Perry Warren and 22 others

Introduced
Committee
Floor Vote
Passed
Law

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Public stanceCommunity reactions are separate from the official record and reporting.

What This Bill Would Do

Pennsylvania House Bill 755 requires health insurers to provide full coverage without cost-sharing for preventive services on a state-maintained list, contingent upon federal changes or repeal of federal preventive coverage mandates. The measure empowers the Insurance Department to maintain and modify the list and establishes penalties for insurer noncompliance.

Why it matters

Enrollees in non-grandfathered health plans would receive designated preventive services without out-of-pocket copayments or deductibles once the state implementation notice is published, while insurers face fines up to $500,000 annually for violations.

Background
  • Preventive services mandates under federal law have historically been tied to the Patient Protection and Affordable Care Act via 42 U.S.C. Section 300gg-13. context
  • State insurance departments in Pennsylvania regulate health insurance policies issued under state law and enforce consumer protection standards. context

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

Health Insurers

Insurers must provide coverage without cost-sharing for state-listed preventive services, file forms or adjust policies, and comply with department regulations under threat of administrative fines and license suspension.

Directly affected

Health Insurance Enrollees

Enrollees receive coverage for designated preventive health care services without being required to pay out-of-pocket cost sharing.

Directly affected

Insurance Department

The department is authorized to compile and modify the preventive services list, conduct public comment periods, promulgate regulations, and enforce compliance.

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 triggers the preventive services coverage requirements in this bill?
The main provisions take effect upon publication of an implementation notice in the Pennsylvania Bulletin, which occurs only if the U.S. Congress repeals, a federal court invalidates, or the federal executive branch stops enforcing 42 U.S.C. Section 300gg-13.
Can insurers charge copayments or deductibles for preventive services under this act?
No. For in-network preventive services on the state-maintained list, insurers are prohibited from imposing cost-sharing requirements such as deductibles, coinsurance, or copayments.
Are all health insurance policies subject to these rules?
No. s, accident-only policies, credit-only policies, long-term care policies, Medicare supplement policies, and several other limited-benefit policies are excluded.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

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 (133-69)
  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. Mar 3, 2025HouseCommittee
    Referred to INSURANCE, March 3, 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

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 Insurance Backstop

The legislation is structured specifically as a contingency measure designed to preserve preventive service coverage requirements at the state level if federal mandates under 42 U.S.C. Section 300gg-13 are repealed, vacated, or unenforced.

Connected Entities

Insurance Department, Advisory Committee on Immunization Practices, Health Resources and Services Administration and 4 more
OrganizationInsurance Department“Commonwealth department authorized to compile the preventive services list and p”Map →
OrganizationAdvisory Committee on Immunization Practices“Body providing recommended immunizations for the preventive services list.”Map →
OrganizationHealth Resources and Services Administration“Federal agency providing comprehensive guidelines for women, infants, children, ”Map →
OrganizationLegislative Reference Bureau“Entity receiving notices for publication in the Pennsylvania Bulletin.”Map →
PersonInsurance Commissioner“State official granted enforcement and penalty authority under the act.”Map →
OrganizationUnited States Preventive Services Task Force“Federal body whose ratings serve as evaluation standards for preventive services”Map →
OrganizationCenters for Disease Control and Prevention“Federal agency housing the immunization advisory committee.”Map →

Sources

Open source document

www.palegis.us

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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