HB 470 — 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 prohibition on lifetime and annual limits on essential health benefits and for coverage for General Assembly and other Commonwealth employees.

PRIOR PRINTER'S NO.

455 PRINTER'STHE NO.GENERAL ASSEMBLY OF PENNSYLVANIA HOUSE BILL Session of No.

3615470 THE2019 GENERALINTRODUCED ASSEMBLYBY OFFRANKEL PENNSYLVANIAAND HOUSEDeLUCA, BILLFEBRUARY Session11, of2019 REFERRED TO COMMITTEE ON INSURANCE, FEBRUARY 11, 2019 No.AN ACT Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An act relating to insurance;

INTRODUCEDamending, BYrevising, FRANKEL,and DeLUCA,consolidating RAVENSTAHL,the KORTZ,law DONATUCCI,providing PASHINSKI,for STURLA,the MADDEN,incorporation SAPPEY,of MARKOSEK,insurance MULLINS,companies, SANCHEZ,and BRIGGS,the ZABEL,regulation, WILLIAMS,supervision, DELLOSOand ANDprotection MALAGARI,of FEBRUARYhome 11,and 2019foreign ASinsurance AMENDED,companies, COMMITTEELloyds ONfire INSURANCE,insurance HOUSErating OFbureaus, REPRESENTATIVES,and APRILthe 27,regulation 2020ands, ANand ACTsupervision Amendingof theinsurance actcarried ofby Maysuch 17,companies, 1921associations, (P.L.682,and No.284),exchanges, entitledincluding "Aninsurance actcarried relatingby tothe insurance;State Workmen's Insurance Fund;

amending, revising, and consolidating the law providing for the incorporation of 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, the State Workmen's Insurance Fund;

and repealing existing laws," in casualty insurance, providing for prohibition on lifetime and annual limits on essential health benefitsbenefits. AND FOR COVERAGE FOR GENERAL ASSEMBLY AND <-- OTHER COMMONWEALTH EMPLOYEES.

The act of May 17, 1921 (P.L.682, No.284), known as The Insurance Company Law of 1921, is amended by adding a <-- section SECTIONS to read:

<-- Section 635.8.

20190HB0470PN3615 - 2 - (2) Emergency services.

20190HB0470PN0455 - 2 - (5) Mental health and substance use disorder services, including, but not limited to, behavioral health treatment.

"Health insurer." An entity licensed by the Insurance 20190HB0470PN3615 - 3 - Department with accident and health authority to issue a policy, subscriber contract, certificate or plan that provides medical or health care coverage that is offered or governed under any of 20190HB0470PN0455 - 3 - the following:

<--20190HB0470PN0455 SECTION- 635.9.4 -

COVERAGE FOR GENERAL ASSEMBLY AND OTHER <-- COMMONWEALTH EMPLOYES.--NO LATER THAN JULY 1, 2020, OR THE CONCLUSION OF THE CONTRACT FOR HEALTH INSURANCE COVERAGE THAT WAS IN EFFECT ON THE EFFECTIVE DATE OF THIS SECTION, WHICHEVER OCCURS LATER, THE FOLLOWING SHALL ONLY PARTICIPATE IN HEALTH INSURANCE COVERAGE UNDER THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PUBLIC LAW 111-148, 124 STAT.

119) OR ITS SUCCESSOR:

(1) ALL MEMBERS, OFFICERS AND EMPLOYES OF THE SENATE OR THE HOUSE OF REPRESENTATIVES.

(2) ALL EMPLOYES OF THE GOVERNOR'S OFFICE.

(3) ALL EMPLOYES OF A DEPARTMENT, AGENCY, OFFICE, AUTHORITY, BOARD OR COMMISSION OF THE COMMONWEALTH THAT IS SUBJECT TO THE POLICY SUPERVISION AND CONTROL OF THE GOVERNOR.

(4) ALL EMPLOYES OF THE OFFICE OF LIEUTENANT GOVERNOR, THE OFFICE OF ATTORNEY GENERAL, THE DEPARTMENT OF THE AUDITOR GENERAL OR THE TREASURY DEPARTMENT.

(5) ALL EMPLOYES OF A BOARD OR COMMISSION OF AN ENTITY SPECIFIED IN PARAGRAPH (4).

20190HB0470PN3615 - 4 - (6) ALL EMPLOYES OF A DEPARTMENT, AGENCY, OFFICE, AUTHORITY, BOARD OR COMMISSION OF THE COMMONWEALTH THAT IS NOT SUBJECT TO THE POLICY SUPERVISION AND CONTROL OF THE GOVERNOR.

SECTION 2.

THE PROVISIONS OF THIS ACT ARE NONSEVERABLE.

IF ANY PROVISION OF THIS ACT OR ITS APPLICATION TO ANY PERSON OR CIRCUMSTANCE IS HELD INVALID, THE REMAINING PROVISIONS OR APPLICATIONS OF THIS ACT ARE VOID AB INITIO.

THIS NONSEVERABILITY CLAUSE IS CONTROLLING.

SECTION 3.

THIS ACT SHALL TAKE EFFECT AS FOLLOWS:

(1) THE ADDITION OF SECTION 635.8 OF THE ACT SHALL TAKE EFFECT IN 30 DAYS.

(2) THE REMAINDER OF THIS ACT SHALL TAKE EFFECT IMMEDIATELY.

20190HB0470PN3615 - 5 -