Pennsylvania 2025-2026 Regular Session

Pennsylvania House Bill HB2427

Introduced
4/21/26  

Caption

In quality health care accountability and protection, further providing for definitions and providing for utilization management for stage four, advanced metastatic cancer drugs; and making a repeal.

Impact

The passage of HB 2427 will have significant implications for patients suffering from advanced metastatic cancer within Pennsylvania. This bill is anticipated to lead to more timely access to essential medications, potentially improving patient outcomes by ensuring they receive the appropriate treatment without unnecessary delays. The implementation of section 2157.1 means that insurance policies must be compliant with this new directive, leading to changes in how insurers manage drug therapies related to advanced cancer. This is expected to standardize treatment protocols and remove barriers that patients have traditionally faced when seeking coverage for necessary drugs.

Summary

House Bill 2427 is a legislative proposal in Pennsylvania aimed at enhancing healthcare accountability and access for patients dealing with stage four, advanced metastatic cancer. This bill specifically modifies the existing framework surrounding specific drug treatments for this serious condition by introducing a section that amends the Insurance Company Law of 1921. One of the main provisions included in this bill is the prohibition of insurance companies from requiring patients to try and fail on alternative treatments before accessing medications that are deemed medically necessary for their condition, provided these drugs are FDA-approved and supported by established medical literature.

Contention

Despite its potential benefits, HB 2427 may also encounter opposition from various stakeholders within the healthcare sector. Critics may argue that mandates on insurance coverage can lead to increased costs for insurers and, ultimately, consumers. Moreover, the repeal of the Fair Access to Cancer Treatment Law, which HB 2427 enacts, points to a broader debate about how best to ensure equitable access to cancer therapies while maintaining sustainable healthcare costs. There may be concerns about the legal and financial ramifications for insurance companies, which could affect the bill's support among certain legislative members and lobby groups.

Companion Bills

No companion bills found.

Previously Filed As

PA HB839

In quality health care accountability and protection, further providing for continuity of care.

PA HB966

In quality health care accountability and protection, further providing for departmental powers and duties and providing for additional penalties.

PA SB921

Health Insurance - Step Therapy or Fail-First Protocols - Drugs to Treat Associated Conditions of Advanced Metastatic Cancer

PA HB2477

Providing for behavioral health benefits for justice-involved children; and, in juvenile matters, further providing for definitions and for costs and expenses of care of child, providing for mandatory intake conference and screening in cases alleging delinquency and further providing for informal adjustment and for powers and duties.

PA HB77

In food protection, further providing for definitions, providing for food allergy awareness and further providing for powers of department.

PA SB904

In mental health parity and access to addiction treatment, further providing for scope of chapter, for definitions and for annual attestation.

PA SB623

In general provisions, further providing for definitions; in Commonwealth services, further providing for definitions; and, in emergency responder mental wellness and stress management, further providing for definitions.

PA SB123

In protection from abuse, further providing for definitions and for relief.

PA HB104

In protection from abuse, further providing for definitions and for relief.

PA HB1479

In protection from abuse, further providing for definitions and for relief; and, in protection of victims of sexual violence or intimidation, further providing for definitions and for relief.

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IA HF518

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IA HF326

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