PRINTER'S NO. 104
No. 121 Session of 2005
INTRODUCED BY O'PAKE, MUSTO, KITCHEN, LAVALLE, STOUT, PILEGGI,
RHOADES, WOZNIAK, KASUNIC, LOGAN, COSTA, ORIE, BOSCOLA,
MELLOW AND STACK, FEBRUARY 1, 2005
REFERRED TO BANKING AND INSURANCE, FEBRUARY 1, 2005
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," providing for health insurance
12 reimbursement for prostate specific antigen examinations.
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 635.2. Coverage for Prostate Specific Antigen
19 Examinations.--All group or individual health or sickness or
20 accident insurance policies providing hospital or
21 medical/surgical coverage and all group or individual subscriber
22 contracts or certificates issued by any entity subject to 40
1 Pa.C.S. Ch. 61 (relating to hospital plan corporations) or 63
2 (relating to professional health services plan corporations),
3 this act, the act of December 29, 1972 (P.L.1701, No.364), known
4 as the "Health Maintenance Organization Act" or an employe
5 welfare benefit plan as defined in section 3 of the Employee
6 Retirement Income Security Act of 1974 (Public Law 93-406, 88
7 Stat. 829) providing hospital or medical/surgical coverage shall
8 also provide coverage for prostate specific antigen (PSA)
9 examinations. The minimum coverage required shall include all
10 costs associated with a PSA examination every year for men 50
11 years of age or older and with any PSA examination based on a
12 physician's recommendation for men under 50 years of age.
13 Section 2. This act shall take effect in 60 days.
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