S1202B1647A04461 NAD:CMD 06/07/22 #90 A04461
AMENDMENTS TO SENATE BILL NO. 1202
Sponsor: SENATOR BROOKS
Printer's No. 1647
Amend Bill, page 5, by inserting between lines 1 and 2
"Government program." A program of government-sponsored or
subsidized health care coverage, including:
(1) The Commonwealth's medical assistance program
established under the act of June 13, 1967 (P.L.31, No.21),
known as the Human Services Code.
(2) The children's health insurance program under
Article XXIII-A of the act of May 17, 1921 (P.L.682, No.284),
known as The Insurance Company Law of 1921.
Amend Bill, page 5, by inserting between lines 5 and 6
"Health insurance policy." A policy, subscriber contract,
certificate or plan issued by an insurer that provides hospital
or medical or surgical health care coverage. The term does not
include any of the following:
(1) An accident only policy.
(2) A credit only policy.
(3) A long-term care or disability income policy.
(4) A specified disease policy.
(5) A Medicare supplement policy.
(6) A fixed indemnity policy.
(7) A dental only policy.
(8) A vision only policy.
(9) A workers' compensation policy.
(10) An automobile medical payment policy.
(11) Any other similar policies providing for limited
benefits.
Amend Bill, page 5, lines 8 and 9, by striking out "where
pasteurized donor human milk has been determined to be medically
necessary and" and inserting a comma
Amend Bill, page 5, line 10, by inserting after "conditions"
and for whom pasteurized donor human milk is medically
necessary
Amend Bill, page 6, by inserting between lines 2 and 3
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"Insurer." An entity that offers, issues or renews an
individual or group health, accident or sickness insurance
policy, contract or plan, and that is governed under any of the
following:
(1) The Insurance Company Law of 1921, including section
630 and Article XXIV.
(2) The act of December 29, 1972 (P.L.1701, No.364),
known as the Health Maintenance Organization Act.
(3) 40 Pa.C.S. Ch. 61 (relating to hospital plan
corporations).
(4) 40 Pa.C.S. Ch. 63 (relating to professional health
services plan corporations).
Amend Bill, page 6, lines 21 and 22, by striking out "where
pasteurized donor human milk has been determined to be medically
necessary and" and inserting a comma
Amend Bill, page 6, line 23, by inserting after "conditions"
and for whom pasteurized donor human milk is medically
necessary
Amend Bill, page 7, lines 12 through 23, by striking out all
of said lines
Amend Bill, page 7, line 24, by striking out "5" and
inserting
4
Amend Bill, page 7, line 30, by striking out "health
insurance coverage" and inserting
coverage by insurers and government programs
Amend Bill, page 8, line 1, by striking out "6" and inserting
5
Amend Bill, page 8, line 14, by striking out "6" and
inserting
5
Amend Bill, page 8, line 14, by inserting after "coverage"
and reimbursement
Amend Bill, page 8, line 18, by striking out "when" and
inserting
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if
Amend Bill, page 9, line 6, by striking out the period after
"services" and inserting
unless payment to the inpatient provider is made using an
all-inclusive bundled payment that covers PDHM and its
reimbursement.
Amend Bill, page 9, lines 10 through 30; page 10, lines 1
through 19; by striking out all of said lines on said pages and
inserting
(e) Scope.--This section shall apply to coverage and
reimbursement under all of the following:
(1) An individual health insurance policy.
(2) A group health insurance policy.
(3) A government program.
Amend Bill, page 10, line 20, by striking out "7" and
inserting
6
Amend Bill, page 10, line 23, by striking out "6" and
inserting
5
Amend Bill, page 10, line 27, by striking out "6" and
inserting
5
Amend Bill, page 10, line 30, by striking out "8" and
inserting
7
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