HB 1088 — 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, providing for coverage for blood pressure monitors.

PRINTER'S NO.   1205

                     THE GENERAL ASSEMBLY OF PENNSYLVANIA



                         HOUSE BILL
                         No. 1088
                                               Session of
                                                 2025

     INTRODUCED BY STEELE, FIEDLER, DONAHUE, GIRAL, HILL-EVANS,
        SANCHEZ, PROBST, HANBIDGE, MADDEN, POWELL, BOROWSKI, HOWARD,
        SCHLOSSBERG, OTTEN, HOHENSTEIN, CERRATO, MALAGARI, CURRY,
        O'MARA, SHUSTERMAN, BELLMON AND RIVERA, APRIL 1, 2025

     REFERRED TO COMMITTEE ON INSURANCE, APRIL 1, 2025


                                    AN ACT
 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," in casualty insurance, providing
12      for coverage for blood pressure monitors.
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 635.11.    Coverage for Blood Pressure Monitors.--(a)
19   A health insurance policy that is offered, issued or renewed in
20   this Commonwealth shall provide coverage, including
21   reimbursement, for medically necessary blood pressure monitors
22   for pregnant or postpartum insureds for each pregnancy.
 1      (b)    As used in this section:
 2      "Health insurance policy" means a policy, subscriber
 3   contract, certificate or plan issued by a health insurer that
 4   provides medical or health care coverage. The term does not
 5   include any of the following:
 6      (1)    An accident only policy.
 7      (2)    A credit only policy.
 8      (3)    A long-term care or disability income policy.
 9      (4)    A specified disease policy.
10      (5)    A Medicare supplement policy.
11      (6)    A fixed indemnity policy.
12      (7)    A hospital indemnity policy.
13      (8)    A dental only policy.
14      (9)    A vision only policy.
15      (10)     A workers' compensation policy.
16      (11)     An automobile medical payment policy.
17      (12)     A policy under which benefits are provided by the
18   Federal Government to active or former military personnel and
19   their dependents.
20      (13)     Any other similar policy providing for limited
21   benefits.
22      "Insurer" means an entity licensed by the department that
23   offers, issues or renews an individual or group health insurance
24   policy that is offered or governed under any of the following:
25      (1)    This act, including section 630 and Article XXIV.
26      (2)    The act of December 29, 1972 (P.L.1701, No.364), known
27   as the "Health Maintenance Organization Act."
28      (3)    40 Pa.C.S. Ch. 61 (relating to hospital plan
29   corporations) or 63 (relating to professional health services
30   plan corporations).

20250HB1088PN1205                      - 2 -
 1      "Postpartum" means within one year of delivery or the end of
 2   pregnancy.
 3      Section 2.   The following shall apply:
 4          (1)   For a health insurance policy for which either rates
 5      or forms are required to be filed with the Federal Government
 6      or the Insurance Department, section 635.11 of the act shall
 7      apply to a policy for which a form or rate is first filed on
 8      or after the effective date of this paragraph.
 9          (2)   For a health insurance policy for which neither
10      rates nor forms are required to be filed with the Federal
11      Government or the Insurance Department, section 635.11 of the
12      act shall apply to a policy issued or renewed on or after 180
13      days after the effective date of this paragraph.
14      Section 3.   This act shall take effect in 60 days.




20250HB1088PN1205                  - 3 -