PRINTER'S NO. 3010
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No.
2533
Session of
2022
INTRODUCED BY HANBIDGE, HILL-EVANS, HOHENSTEIN, MADDEN, FREEMAN,
SCHLOSSBERG, SANCHEZ, KRAJEWSKI, DELLOSO, McNEILL AND
INNAMORATO, APRIL 22, 2022
REFERRED TO COMMITTEE ON INSURANCE, APRIL 22, 2022
AN ACT
Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An
act relating to insurance; amending, revising, and
consolidating the law providing for the incorporation of
insurance companies, and the regulation, supervision, and
protection of home and foreign insurance companies, Lloyds
associations, reciprocal and inter-insurance exchanges, and
fire insurance rating bureaus, and the regulation and
supervision of insurance carried by such companies,
associations, and exchanges, including insurance carried by
the State Workmen's Insurance Fund; providing penalties; and
repealing existing laws," in casualty insurance, providing
for coverage for pelvic floor therapy.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. The act of May 17, 1921 (P.L.682, No.284), known
as The Insurance Company Law of 1921, is amended by adding a
section to read:
Section 633.1. Coverage for Pelvic Floor Therapy.--(a)
Every health insurance policy contract issued, amended or
renewed on or after January 1, 2023, shall provide coverage for
the expenses of diagnosis and treatment of pelvic floor
dysfunction and linked or related conditions, including:
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(1) Pelvic floor therapy.
(2) Biofeedback.
(3) Trigger point therapy.
(4) Electrical stimulation.
(5) Postoperative care for prostatectomies.
(6) Postoperative care for hysterectomies.
(7) Postpartum pelvic floor assessments.
(b) Coverage under this section shall remain subject to any
copayment, coinsurance or deductible amounts set forth in the
policy.
(c) An insurer may not deny to a patient eligibility or
continued eligibility to enroll or to renew coverage under the
terms of the health insurance policy solely for the purpose of
avoiding the requirements of this act.
(d) As used in this section, the following words and phrases
shall have the meanings given to them in this subsection:
"Health insurance policy" means an individual or group health
insurance policy, contract or plan that provides medical or
health care coverage by any health care facility or licensed
health care provider on an expense-incurred service or prepaid
basis and that is offered by or is governed under any of the
following:
(1) This act.
(2) Subdivision (f) of Article IV of the act of June 13,
1967 (P.L.31, No.21), known as the "Human Services Code."
(3) The act of December 29, 1972 (P.L.1701, No.364), known
as the "Health Maintenance Organization Act."
(4) The act of May 18, 1976 (P.L.123, No.54), known as the
"Individual Accident and Sickness Insurance Minimum Standards
Act."
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(5) 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).
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.
"Pelvic floor dysfunction" means the inability to control the
muscles of the pelvic floor.
"Pelvic floor therapy" means the treatment applied to pelvic
floor muscles to treat problems associated with the pelvic
floor, including incontinence, difficulty with urination or
bowel movements, constipation, chronic pelvic pain, painful
intercourse, diastasis recti, pelvic organ prolapse and linked
or related conditions.
Section 2. This act shall take effect in 60 days.
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