PRINTER'S NO. 3086
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No.
2522
Session of
2022
INTRODUCED BY D. MILLER, KOSIEROWSKI, HOHENSTEIN, HANBIDGE,
HENNESSEY, DELLOSO, SANCHEZ, PARKER, SCHLOSSBERG, GUENST,
O'MARA, MADDEN, HILL-EVANS, McNEILL, DRISCOLL AND DEASY,
MAY 4, 2022
REFERRED TO COMMITTEE ON INSURANCE, MAY 4, 2022
AN ACT
Providing for wheelchair quality assurance.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. Short title.
This act shall be known and may be cited as the Wheelchair
Quality Assurance Act.
Section 2. Definitions.
The following words and phrases when used in this act shall
have the meanings given to them in this section unless the
context clearly indicates otherwise:
"Department." The Department of Human Services of the
Commonwealth.
"Health insurance policy." As follows:
(1) An individual or group health insurance policy,
contract or plan that provides medical or health care
coverage by a health care facility or licensed health care
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provider on an expense-incurred service or prepaid basis that
is offered by or is governed under any of the following:
(i) The act of May 17, 1921 (P.L.682, No.284), known
as The Insurance Company Law of 1921.
(ii) The act of December 29, 1972 (P.L.1701,
No.364), known as the Health Maintenance Organization
Act.
(iii) The act of May 18, 1976 (P.L.123, No.54),
known as the Individual Accident and Sickness Insurance
Minimum Standards Act.
(iv) A nonprofit corporation subject to 40 Pa.C.S.
Ch. 61 (relating to hospital plan corporations) or 63
(relating to professional health services plan
corporations).
(2) The term does not include accident only, fixed
indemnity, limited benefit, credit, dental, vision, specified
disease, Medicare supplement, Civilian Health and Medical
Program of the Uniformed Services (CHAMPUS) supplement, long-
term care or disability income, workers' compensation or
automobile medical payment insurance.
Section 3. Well-visit coverage.
A health insurance policy shall provide coverage for
wheelchair maintenance well-visit costs incurred during
semiannual wheelchair maintenance well-visits.
Section 4. Consumer notice.
An individual using a wheelchair shall be notified of the
coverage specified under section 3 and in the individual's
health insurance policy.
Section 5. Department duties and responsibilities.
(a) Waiver.--The department shall seek the appropriate
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Federal waiver through the Centers for Medicare and Medicaid
Services necessary to carry out the provisions of this act for
all Medicaid-eligible individuals who utilize a wheelchair.
(b) Regulations.--The department shall promulgate
regulations necessary to carry out the provisions of this act.
Section 6. Applicability.
This act shall apply to:
(1) A health insurance policy that is delivered, issued
for delivery, renewed, extended or modified in this
Commonwealth on or after the effective date of this section.
(2) An individual using a wheelchair at the time of the
effective date of this section and an individual who is
issued a wheelchair on or after the effective date of this
section.
Section 7. Effective date.
This act shall take effect in 60 days.
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