Pennsylvania 2025-2026 Regular Session

Pennsylvania Senate Bill SB51

Introduced
1/22/25  

Caption

An Act providing for individual and group health care insurance coverage protections and for core health benefits; imposing penalties; and providing for applicability and for regulations.

Summary

SB51 is a health insurance coverage bill that would establish protections for both individual and group health care insurance policies and require coverage of specified core health benefits. Based on the caption, the measure appears intended to set minimum benefit standards for health plans, likely limiting exclusions or restrictions on certain essential services and creating a framework for enforcement. The bill also authorizes penalties and directs the issuance of regulations to implement its requirements, indicating that it would affect insurers, health plan administrators, and potentially consumers purchasing coverage in the individual and employer-sponsored markets. Because the full bill text was not available in the provided materials, the precise scope of the mandated benefits and enforcement mechanisms cannot be confirmed from the text excerpt alone.

Impact

If enacted, SB51 would amend Pennsylvania insurance law by imposing new coverage mandates and consumer protections on individual and group health insurance products. It would likely require the Insurance Department to adopt regulations and could create compliance obligations for insurers, with penalties available for violations. The bill’s practical effect would be to expand or standardize covered benefits and potentially increase regulatory oversight of health plans.

Sentiment

No committee transcript or vote record was provided, so there is no direct evidence of support or opposition from debate or roll call history. The bill’s referral to the Senate Banking & Insurance Committee suggests it is in the early stages of consideration and has not yet generated recorded floor-level sentiment in the materials provided.

Contention

The main points of potential contention are the usual ones for health coverage mandate legislation: the cost of requiring additional benefits, the extent of insurer flexibility, and whether the mandated protections would raise premiums for employers and individual policyholders. Supporters would likely emphasize broader access to essential care and stronger consumer protections, while opponents may focus on administrative burden, premium impacts, and the possibility of state-imposed benefit requirements exceeding what some plans currently cover.

Companion Bills

No companion bills found.

Previously Filed As

PA HB535

Providing for health care insurance coverage protections; imposing duties on the Insurance Department and the Insurance Commissioner; and imposing penalties.

PA SB52

Providing for health care insurance coverage protections, for duties of the Insurance Department and the Insurance Commissioner, for regulations, for enforcement and for penalties.

PA SB50

Providing for health care insurance coverage protections, for duties of the Insurance Department and the Insurance Commissioner, for regulations, for enforcement and for penalties.

PA HB618

Providing for health insurance access protections; imposing duties on the Insurance Department and the Insurance Commissioner; and imposing penalties.

PA HB755

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.

PA SB1195

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.

PA HB1444

Providing for association health plans; imposing penalties; and making repeals.

PA SB989

Providing for immunization coverage; and imposing penalties.

PA HB1828

Providing for immunization coverage; and imposing penalties.

PA HB1325

Providing for dental insurance medical loss ratios; and imposing penalties.

Similar Bills

No similar bills found.