Pennsylvania SB989 mandates immunization coverage by insurers, prohibits cost-sharing, and allows for additions or exceptions to coverage based on.
Pennsylvania SB989 amends Title 40 of the Pennsylvania Consolidated Statutes to require insurers to cover immunizations without cost-sharing for enrollees. The bill allows the Department of Health to add or except specific immunizations from coverage based on medical evidence and public health considerations. Insurers must cover immunizations delivered by out-of-network providers if no in-network provider is available, but may not impose cost-sharing. Religious exemptions are permitted. The bill also outlines enforcement mechanisms, including fines and license penalties for non-compliance.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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