HB 1284 — An Act amending the act of May 17, 1921 (P.L.682, No.284), known as The Insurance Company Law of 1921, in comprehensive health care for uninsured children, further providing for contracts and coverage packages and providing for frenectomy services required.

PRINTER'S NO.     1455

                     THE GENERAL ASSEMBLY OF PENNSYLVANIA



                         HOUSE BILL
                         No. 1284
                                                Session of
                                                  2025

     INTRODUCED BY HILL-EVANS, FREEMAN, KHAN, PIELLI, GUENST,
        SANCHEZ, GIRAL, OTTEN, MADDEN, WAXMAN, CERRATO, CEPEDA-
        FREYTIZ, D. WILLIAMS, SHUSTERMAN, GREEN AND RIVERA,
        APRIL 22, 2025

     REFERRED TO COMMITTEE ON INSURANCE, APRIL 22, 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 comprehensive health care for
12      uninsured children, further providing for contracts and
13      coverage packages and providing for frenectomy services
14      required.
15      The General Assembly of the Commonwealth of Pennsylvania
16   hereby enacts as follows:
17      Section 1.     Section 2304-A(e)(9)(vi) of the act of May 17,
18   1921 (P.L.682, No.284), known as The Insurance Company Law of
19   1921, is amended to read:
20   Section 2304-A.    Contracts and coverage packages.
21      * * *
22      (e)   Duties of contractor.--A contractor with whom the
23   department enters into a contract shall do the following:
 1          * * *
 2          (9)   Subject to any necessary Federal approval, provide
 3      the following minimum coverage package, which may not
 4      conflict with Federal law, regulation or guidance, for
 5      eligible children:
 6                * * *
 7                (vi)    Emergency, preventive and routine dental care.
 8          This subparagraph includes frenectomies and other
 9          surgical procedures to treat lip-ties or tongue-ties.
10          This subparagraph does not include orthodontia or
11          cosmetic surgery.
12                * * *
13      Section 2.   The act is amended by adding a section to read:
14   Section 2304.1-A.     Frenectomy services required.
15      A dental provider who contracts with an insurer awarded a
16   contract under section 2304-A to provide health care under this
17   article shall offer frenectomies or other surgical procedures to
18   treat a lip-tie or tongue-tie as a covered routine dental
19   service.
20      Section 3.   This act shall take effect in 60 days.




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