This bill amends Title 40 of the Pennsylvania Consolidated Statutes to introduce a new chapter, CHAPTER 44, which focuses on school-based services. It establishes provisions for insurance coverage of health care services provided in school settings, emphasizing that health insurance policies cannot exclude coverage for medically necessary services simply because they are delivered in a school environment. The chapter outlines definitions, legislative intent, permitted exclusions, and coordination of benefits, aiming to enhance access to health care for students without requiring them to leave school. Additionally, it includes regulations and penalties for insurers that violate these provisions.

Furthermore, the bill also amends existing telemedicine coverage regulations to ensure that health insurance policies provide coverage for medically necessary services delivered through telemedicine, prohibiting exclusions based solely on the mode of service delivery. It clarifies that insurers are not required to reimburse for services mandated by federal or state law to be provided by school entities, including those related to individualized education programs. The act is set to take effect immediately, with specific applicability timelines based on the filing of insurance policies.

Statutes/Laws affected:
Printer's No. 1897 (Jun 10, 2025): P.L.682, No.284