The proposed bill amends Title 40 of the Pennsylvania Consolidated Statutes to establish a new chapter, CHAPTER 44, focused on school-based services. This chapter aims to ensure that health care services, including mental health and speech therapy, are accessible to students within school settings. It prohibits health insurance policies from excluding coverage for medically necessary services provided in schools, regardless of whether the exclusion is explicit or based on the location of service. The bill also outlines definitions for key terms, such as "health care provider," "school entity," and "covered person," and establishes regulations for the coordination of benefits and permitted exclusions.

Additionally, the bill amends existing provisions regarding telemedicine coverage, ensuring that health insurance policies must provide coverage for medically necessary services delivered through telemedicine by participating network providers. It clarifies that insurers cannot exclude coverage solely based on the service being provided through telemedicine. The bill also includes provisions for penalties against insurers that violate these regulations and specifies that the act will take effect immediately, with certain provisions applying to policies filed or renewed after the effective date.

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