PRINTER'S NO. 2118
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No.
1599
Session of
2017
INTRODUCED BY MURT, BOYLE, V. BROWN, DONATUCCI, HELM AND
ROEBUCK, JUNE 22, 2017
REFERRED TO COMMITTEE ON INSURANCE, JUNE 22, 2017
AN ACT
Amending Title 40 (Insurance) of the Pennsylvania Consolidated
Statutes, providing for insurance coverage for
electrocardiograms.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. Title 40 of the Pennsylvania Consolidated
Statutes is amended by adding a part to read:
PART V
SPECIAL PROVISIONS RELATING TO
PARTICULAR CLASSES OF INSURANCE
Chapter
81. Electrocardiograms
CHAPTER 81
ELECTROCARDIOGRAMS
Sec.
8101. Scope of chapter.
8102. Definitions.
8103. Applicability.
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8104. Insurance coverage.
§ 8101. Scope of chapter.
This chapter relates to insurance coverage for
electrocardiograms for students participating in or desiring to
participate in an athletic activity.
§ 8102. Definitions.
The following words and phrases when used in this chapter
shall have the meanings given to them in this section unless the
context clearly indicates otherwise:
"Athletic activity." As defined under section 2 of the
Sudden Cardiac Arrest Prevention Act.
"Electrocardiogram." A medical test which results in a
graphic record of heart muscle activity showing the variations
in electric force which trigger the contraction of the heart in
order to diagnose heart disease.
" Health care provider. " A person, corporation, facility,
institution or other entity licensed, certified or approved by
the Commonwealth to provide health care or professional medical
services. The term includes, but is not limited to, a physician,
chiropractor, optometrist, professional nurse, certified nurse-
midwife, podiatrist, hospital, nursing home, ambulatory surgical
center or birth center.
" Insurer. " A health insurance entity licensed in this
Commonwealth to issue any individual or group health, sickness
or accident policy or subscriber contract or certificate that
provides medical or health care coverage by a health care
facility or licensed health care provider that is offered or
governed under any of the following:
(1) The act of May 17, 1921 (P.L.682, No.284), known as
The Insurance Company Law of 1921 , including section 630 and
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Article XXIV thereof .
(2) The act of December 29, 1972 (P.L.1701, No.364),
known as the Health Maintenance Organization Act.
(3) The act of May 18, 1976 (P.L.123, No.54), known as
the Individual Accident and Sickness Insurance Minimum
Standards Act.
(4) Chapter 61 (relating to hospital plan corporations)
or 63 (relating to professional health services plan
corporations).
"Sudden Cardiac Arrest Prevention Act." The act of May 30,
2012 (P.L.574, No.59), known as the Sudden Cardiac Arrest
Prevention Act.
§ 8103. Applicability.
This chapter shall not apply to the following policies:
(1) Accident only.
(2) Fixed indemnity.
(3) Limited benefit.
(4) Credit.
(5) Dental.
(6) Vision.
(7) Specified disease.
(8) Medicare supplement.
(9) CHAMPUS (Civilian Health and Medical Program of the
Uniformed Services) supplement.
(10) Long-term care or disability income.
(11) Workers' compensation.
(12) Automobile medical payment.
§ 8104. Insurance coverage.
An insurer that provides health insurance coverage to a
student to which the Sudden Cardiac Arrest Prevention Act
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applies shall also provide coverage for each electrocardiogram
required under the Sudden Cardiac Arrest Prevention Act. The
minimum coverage required shall include all costs associated
with each electrocardiogram.
Section 2. This act shall apply to a policy, contract or
certificate offered, issued or renewed by an insurer in this
Commonwealth on or after the effective date of this act.
Section 3. This act shall take effect in 60 days.
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