SB 1201 — An Act amending the act of May 17, 1921 (P.L.682, No.284), known as The Insurance Company Law of 1921, in casualty insurance, providing for coverage for refill of prescription eye drops.

PRIOR PRINTER'S NO.

1607 THEPRINTER'S GENERALNO. ASSEMBLY OF PENNSYLVANIA SENATE BILL Session of No.

1769 THE GENERAL ASSEMBLY OF PENNSYLVANIA SENATE BILL Session of No.

WARD, ROBINSON, MARTIN, MASTRIANO, ARGALLARGALL, AND PHILLIPS-HILL, APRILL. 21, 2022 REFERRED TO BANKING AND INSURANCE, APRIL 21, 2022 AN ACT Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An act relating to insurance;

amending,WILLIAMS revising,AND andSTEFANO, consolidatingAPRIL the21, law2022 providingSENATOR forDiSANTO, theBANKING incorporationAND ofINSURANCE, protectionAS ofAMENDED, homeJUNE and15, foreign2022 insuranceAN companies,ACT LloydsAmending associations, reciprocal and inter-insurance exchanges, and fire insurance rating bureaus, and the regulationact and supervision of insuranceMay carried17, by1921 such(P.L.682, companies,No.284), associations,entitled and"An exchanges,act includingrelating insuranceto carriedinsurance; by the State Workmen's Insurance Fund;

amending, revising, and 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;

(1) Complies with one of the following:following IS REQUESTED:

<-- (i) For a thirty-day supply, between twenty-one and thirty days of the later of:

(2) Is prescribed by a HEALTH CARE practitioner and is a <-- covered benefit under the health insurance policy of the insured.

(3) Regardless of timing, does DOES not exceed the total <-- number of refills indicated on the original prescription.

(b) As used in this section, the term "health insurance <-- policy" meansAS anUSED individualIN orTHIS groupSECTION: insurance policy, subscriber contract, certificate or plan issued by a health insurer that provides medical or health care coverage, including emergency services.

<-- "HEALTH INSURANCE POLICY" means an individual or group insurance policy, subscriber contract, certificate or plan issued by a health AN insurer that provides medical or health <-- care coverage, including emergency services.

20220SB1201PN1769 - 2 - (1) An accident only policy.

20220SB1201PN1607 - 2 - (4) A specified disease policy.

(8) A dentalHOSPITAL onlyINDEMNITY policy.POLICY.

<-- (8) (9) A visiondental only policy.

<-- (9) (10) A workers'vision compensationonly policy.

(11)<-- An(10) automobile(11) medicalA paymentworkers' compensation policy.

<-- (11) (12) AAn homeowners'automobile insurancemedical payment policy.

<-- (12) (13) A short-termhomeowners' limitedinsurance duration policy.

(14)<-- Any(13) other(14) similarA policyshort-term providing for limited benefits.duration policy.

<-- (14) (15) Any other similar policy providing for limited <-- benefits.

The addition of section 635.8 of the act shall <-- apply to a health insurance policy offered, issued or renewed on or after the effective date of this section.

"INSURER" MEANS AN ENTITY LICENSED BY THE DEPARTMENT WITH <-- ACCIDENT AND HEALTH AUTHORITY TO ISSUE A HEALTH INSURANCE POLICY THAT IS OFFERED OR GOVERNED UNDER ANY OF THE FOLLOWING:

(1) THIS ACT, 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) OR 63 (RELATING TO PROFESSIONAL HEALTH SERVICES PLAN CORPORATIONS).

20220SB1201PN1769 - 3 - SECTION 2.

THE ADDITION OF SECTION 635.8 OF THE ACT SHALL APPLY TO THE FOLLOWING:

(1) FOR A HEALTH INSURANCE POLICY FOR WHICH EITHER RATES OR FORMS ARE REQUIRED TO BE FILED WITH THE INSURANCE DEPARTMENT OR THE FEDERAL GOVERNMENT, A POLICY FOR WHICH A FORM OR RATE IS FIRST FILED ON OR AFTER THE EFFECTIVE DATE OF THIS SECTION.

(2) FOR A HEALTH INSURANCE POLICY FOR WHICH RATES OR FORMS ARE NOT REQUIRED TO BE FILED WITH THE INSURANCE DEPARTMENT OR THE FEDERAL GOVERNMENT, A POLICY ISSUED OR RENEWED ON OR AFTER 180 DAYS FROM THE EFFECTIVE DATE OF THIS SECTION.

(3) A CONTRACT BETWEEN A HEALTH CARE PRACTITIONER AND AN INSURER THAT IS EXECUTED OR RENEWED ON OR AFTER 180 DAYS FROM THE EFFECTIVE DATE OF THIS SECTION.

This act shall take effect in 160 60 days.

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