Pennsylvania 2025_0 Regular Session Status: Enacted Bipartisan · 23 R · 21 D cosponsors

SB 88 — 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, repealing provisions relating to coverage for mammographic examinations and breast imaging and providing for coverage for mammographic examinations, magnetic resonance imaging and other forms of breast imaging.

Last action — Act No. 52 of 2025, Nov. 24, 2025

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced June 06, 2025. Enacted.

Signed by Governor Josh Shapiro (Democratic) on November 19, 2025.

Prognosis

Likely to advance 98% · high confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 44 sponsors

    1 primary, 43 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (23 R · 21 D) — cross-party backing.

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

Updating Breast Cancer Screening Coverage

Bill Text

What changed in the latest version

184 added · 185 removed

Plain-language change summary

The latest version of Bill SB 88 adds a requirement for insurance providers to cover all costs of mammograms for women aged 40 and older, and also allows for coverage based on a doctor's recommendation for women under 40. This change ensures that women have better access to necessary breast cancer screening, which is crucial for early detection and treatment. By standardizing this requirement across various insurance policies, the bill aims to improve health outcomes for women and potentially reduce long-term healthcare costs related to cancer treatment.

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PRIOR PRINTER'S NO.
PRINTER'S NO.
915 PRINTER'S NO.
915 THE GENERAL ASSEMBLY OF PENNSYLVANIA SENATE BILL Session of No.
981 THE GENERAL ASSEMBLY OF PENNSYLVANIA SENATE BILL Session of No.
WILLIAMS, KANE, PHILLIPS-HILL, FLYNN, HUGHES, COLLETT, PISCIOTTANO, CAPPELLETTI AND MALONE,OSCOLA, JUNE 6, 2025 AS AMENDED ON THIRD CONSIDERATION, JUNE 23, 2025 AN ACT Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An act relating to insurance;
WILLIAMS, KANE, PHILLIPS-HILL, FLYNN, BOSCOLA, JUNE 6, 2025ARD, KIM, VOGEL, KEARNEY, YAW AND REFERRED TO BANKING AND INSURANCE, JUNE 6, 2025 AN ACT Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An act relating to insurance;
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, associations, and exchanges, including insurance carried by repealing existing laws," in casualty insurance, repealingnd provisions relating to coverage for mammographic examinations and breast imaging and providing for coverage for mammographic examinations, magnetic resonance imaging and other forms of breast imaging.
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, associations, and exchanges, including insurance carried by the State Workmen's Insurance Fund;
providing penalties;
and provisions relating to coverage for mammographic examinations and breast imaging and providing for coverage for mammographic examinations, magnetic resonance imaging and other forms of breast imaging.
61 or 63, this 20250SB0088PN0981 - 2 - act, the "Health Maintenance Organization Act," the "Fraternal Benefit Society Code" or an employe welfare benefit plan as defined in section 3 of the Employee Retirement Income Security Act of 1974 providing hospital or medical/surgical coverage shall also provide coverage for breast imaging.
61 or 63, this act, the "Health Maintenance Organization Act," the "Fraternal 20250SB0088PN0915 - 2 - Benefit Society Code" or an employe welfare benefit plan as defined in section 3 of the Employee Retirement Income Security Act of 1974 providing hospital or medical/surgical coverage shall also provide coverage for breast imaging.
Nothing in this subsection shall be construed as to preclude utilization review as provided under Article XXI of this act or to prevent the application of deductible, copayment or 20250SB0088PN0981 - 3 - coinsurance provisions contained in the policy or plan for breast imaging in excess of the minimum coverage required.
Nothing in this subsection shall be construed as to preclude utilization review as provided under Article XXI of this act or to prevent the application of deductible, copayment or coinsurance provisions contained in the policy or plan for 20250SB0088PN0915 - 3 - breast imaging in excess of the minimum coverage required.
Coverage for Mammographic Examinations, Magnetic Resonance Imaging and Other Forms of Breast Imaging.-- (a) A health insurance policy offered, issued or renewed in this Commonwealth shall provide, as a minimum requirement for a 20250SB0088PN0981 - 4 - covered person under the policy, coverage without cost sharing for the following services:
Coverage for Mammographic Examinations, Magnetic Resonance Imaging and Other Forms of Breast Imaging.-- (a) A health insurance policy offered, issued or renewed in this Commonwealth shall provide, as a minimum requirement for a covered person under the policy, coverage without cost sharing 20250SB0088PN0915 - 4 - for the following services:
(i) An annual A mammographic examination for a covered <-- person 40 years of age or older.
(i) An annual mammographic examination for a covered person 40 years of age or older.
(2) Prevent the application of deductible, copayment or coinsurance provisions for breast imaging services beyond the 20250SB0088PN0981 - 5 - minimum coverage required under subsection (a).
(2) Prevent the application of deductible, copayment or coinsurance provisions for breast imaging services beyond the minimum coverage required under subsection (a).
(3) Require an insurer to cover a surgical procedure known as mastectomy.
20250SB0088PN0915 - 5 - (3) Require an insurer to cover a surgical procedure known as mastectomy.
(4) Prohibit the application of deductible or copayment <-- provisions contained in a policy or plan, except as preempted by Federal law.
(4) Prohibit the application of deductible or copayment provisions contained in a policy or plan, except as preempted by Federal law.
(ix) Does not have a personal history of Li-Fraumeni syndrome, Cowden syndrome or Bannayan-Riley-Ruvalcaba syndrome 20250SB0088PN0981 - 6 - or a first-degree relative with one of these syndromes.
(ix) Does not have a personal history of Li-Fraumeni syndrome, Cowden syndrome or Bannayan-Riley-Ruvalcaba syndrome or a first-degree relative with one of these syndromes.
"Diagnostic breast examination" means a medically necessary and clinically appropriate examination of the breast using diagnostic mammography, standard or abbreviated breast magnetic resonance imaging or breast ultrasound when an abnormality is seen or suspected.
20250SB0088PN0915 - 6 - "Diagnostic breast examination" means a medically necessary and clinically appropriate examination of the breast using diagnostic mammography, standard or abbreviated breast magnetic resonance imaging or breast ultrasound when an abnormality is seen or suspected.
20250SB0088PN0981 - 7 -
20250SB0088PN0915 - 7 -
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Action History

  1. Act No. 52 of 2025, Nov. 24, 2025

  2. Approved by the Governor, Nov. 24, 2025

  3. Presented to the Governor, Nov. 19, 2025

  4. Signed in House, Nov. 19, 2025

  5. Signed in Senate, Nov. 19, 2025

  6. (Remarks see House Journal Page 1590-1591), Nov. 19, 2025

  7. Third consideration and final passage, Nov. 19, 2025 (196-7)

  8. Re-reported as committed, Nov. 19, 2025

  9. Re-referred to APPROPRIATIONS, Nov. 18, 2025

  10. Second consideration, Nov. 18, 2025

  11. Removed from table, Nov. 18, 2025

  12. Laid on the table (Pursuant to House Rule 71), Nov. 17, 2025

  13. Removed from table, Sept. 10, 2025

  14. Laid on the table, June 25, 2025

  15. First consideration, June 25, 2025

  16. Reported as committed, June 25, 2025

  17. Referred to INSURANCE, June 24, 2025

  18. In the House

  19. (Remarks see Senate Journal Page 972), Oct. 28, 2025

  20. (Remarks see Senate Journal Page 927), Oct. 21, 2025

  21. (Remarks see Senate Journal Page 599-601), June 24, 2025

  22. Third consideration and final passage, June 24, 2025 (50-0)

  23. (Remarks see Senate Journal Page 585), June 23, 2025

  24. Amended on third consideration, June 23, 2025

  25. Re-reported as committed, June 23, 2025

  26. Re-referred to APPROPRIATIONS, June 11, 2025

  27. Second consideration, June 11, 2025

  28. First consideration, June 10, 2025

  29. Reported as committed, June 10, 2025

  30. Referred to BANKING AND INSURANCE, June 6, 2025

Sponsors

Sponsorship breakdown

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1 sponsors · 43 co-sponsors · 209 not signed on · 7 voted No

Sponsors (1)

Co-sponsors (43)

Not signed on (209)

209 members have not signed on to this bill.

Show all 209 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

FINAL PASSAGE

Passed 196 Yea · 7 Nay
Party YeaNayPresentNot Voting
Democratic 100000
Republican 90700
Unaffiliated 6000
Total 196700
% of votes cast 97%3%0%0%
How each member voted (203)
Member Party Vote
Dan Miller — Yea
Joshua Siegel — Yea
Louis Schmitt — Yea
Seth Grove — Yea
Stephenie Scialabba — Yea
Torren Ecker — Yea
Abigail Salisbury Democratic Yea
Aerion Abney Democratic Yea
Amen Brown Democratic Yea
Andre D. Carroll Democratic Yea
Anita Astorino Kulik Democratic Yea
Anthony A. Bellmon Democratic Yea
Arvind Venkat Democratic Yea
Ben Waxman Democratic Yea
Benjamin V. Sanchez Democratic Yea
Brandon J. Markosek Democratic Yea
Brian Munroe Democratic Yea
Bridget M. Kosierowski Democratic Yea
Carol Hill-Evans Democratic Yea
Carol Kazeem Democratic Yea
Chris Pielli Democratic Yea
Christina D. Sappey Democratic Yea
Christopher M. Rabb Democratic Yea
Dan Frankel Democratic Yea
Dan Goughnour Democratic Yea
Dan K. Williams Democratic Yea
Daniel J. Deasy Democratic Yea
Danielle Friel Otten Democratic Yea
Danilo Burgos Democratic Yea
Darisha K. Parker Democratic Yea
Dave Madsen Democratic Yea
David M. Delloso Democratic Yea
Ed Neilson Democratic Yea
Eddie Day Pashinski Democratic Yea
Elizabeth Fiedler Democratic Yea
Emily Kinkead Democratic Yea
Frank Burns Democratic Yea
G. Roni Green Democratic Yea
Gina H. Curry Democratic Yea
Greg Scott Democratic Yea
Greg Vitali Democratic Yea
Heather Boyd Democratic Yea
Ismail Smith-Wade-El Democratic Yea
Jacklyn Rusnock Democratic Yea
Jared G. Solomon Democratic Yea
Jason Dawkins Democratic Yea
Jeanne McNeill Democratic Yea
Jennifer O'Mara Democratic Yea
Jessica Benham Democratic Yea
Jim Haddock Democratic Yea
Jim Prokopiak Democratic Yea
Joanna E. McClinton Democratic Yea
Joe Ciresi Democratic Yea
Joe McAndrew Democratic Yea
Joe Webster Democratic Yea
Johanny Cepeda-Freytiz Democratic Yea
John C. Inglis III Democratic Yea
Jordan A. Harris Democratic Yea
Jose Giral Democratic Yea
Joseph C. Hohenstein Democratic Yea
Justin C. Fleming Democratic Yea
Keith S. Harris Democratic Yea
Kristine C. Howard Democratic Yea
Kyle Donahue Democratic Yea
Kyle J. Mullins Democratic Yea
La'Tasha D. Mayes Democratic Yea
Leanne Krueger Democratic Yea
Lindsay Powell Democratic Yea
Lisa A. Borowski Democratic Yea
Liz Hanbidge Democratic Yea
Malcolm Kenyatta Democratic Yea
Mandy Steele Democratic Yea
Manuel Guzman Democratic Yea
Mary Jo Daley Democratic Yea
MaryLouise Isaacson Democratic Yea
Matthew D. Bradford Democratic Yea
Maureen E. Madden Democratic Yea
Melissa Cerrato Democratic Yea
Melissa L. Shusterman Democratic Yea
Michael H. Schlossberg Democratic Yea
Morgan Cephas Democratic Yea
Nancy Guenst Democratic Yea
Napoleon J. Nelson Democratic Yea
Nathan Davidson Democratic Yea
Nikki Rivera Democratic Yea
Pat Gallagher Democratic Yea
Patrick J. Harkins Democratic Yea
Paul Friel Democratic Yea
Paul Takac Democratic Yea
Perry S. Warren Democratic Yea
Peter Schweyer Democratic Yea
Regina G. Young Democratic Yea
Rick Krajewski Democratic Yea
Robert E. Merski Democratic Yea
Robert F. Matzie Democratic Yea
Robert Freeman Democratic Yea
Ryan A. Bizzarro Democratic Yea
Scott Conklin Democratic Yea
Sean Dougherty Democratic Yea
Steve Samuelson Democratic Yea
Steven R. Malagari Democratic Yea
Tarah Probst Democratic Yea
Tarik Khan Democratic Yea
Tim Brennan Democratic Yea
Tim Briggs Democratic Yea
Tina M. Davis Democratic Yea
Aaron Bernstine Republican Yea
Abby Major Republican Yea
Alec J. Ryncavage Republican Yea
Andrew Kuzma Republican Yea
Ann Flood Republican Yea
Barbara Gleim Republican Nay
Brad Roae Republican Yea
Brenda M. Pugh Republican Yea
Brett R. Miller Republican Yea
Brian C. Rasel Republican Yea
Brian Smith Republican Yea
Bryan Cutler Republican Yea
Bud Cook Republican Yea
Carl Walker Metzgar Republican Yea
Chad G. Reichard Republican Yea
Charity Grimm Krupa Republican Yea
Clint Owlett Republican Yea
Craig T. Staats Republican Yea
Craig Williams Republican Yea
Dallas Kephart Republican Nay
Dan Moul Republican Yea
Dane Watro Republican Yea
David H. Rowe Republican Yea
David H. Zimmerman Republican Yea
David M. Maloney Republican Yea
Donna Scheuren Republican Yea
Doyle Heffley Republican Yea
Eric Davanzo Republican Yea
Eric J. Weaknecht Republican Yea
Eric R. Nelson Republican Yea
Gary W. Day Republican Yea
Jack Rader Republican Yea
Jacob D. Banta Republican Yea
James B. Struzzi Republican Yea
Jamie Barton Republican Yea
Jamie L. Flick Republican Yea
Jamie Walsh Republican Nay
Jason Ortitay Republican Yea
Jeff Olsommer Republican Yea
Jeremy Shaffer Republican Yea
Jesse Topper Republican Yea
Jill N. Cooper Republican Yea
Jim Rigby Republican Yea
Joanne Stehr Republican Yea
Joe Emrick Republican Yea
Joe Hamm Republican Nay
Joe Hogan Republican Yea
Joe Kerwin Republican Yea
John A. Lawrence Republican Yea
John A. Schlegel Republican Yea
Jonathan Fritz Republican Yea
Joseph D'Orsie Republican Yea
Josh Bashline Republican Nay
Joshua D. Kail Republican Yea
Kate A. Klunk Republican Yea
Kathleen C. Tomlinson Republican Yea
Kathy L. Rapp Republican Yea
Keith J. Greiner Republican Yea
Kerry A. Benninghoff Republican Yea
Kristin Marcell Republican Yea
Leslie Rossi Republican Yea
Marc S. Anderson Republican Yea
Marci Mustello Republican Yea
Mark M. Gillen Republican Yea
Marla Brown Republican Yea
Martin T. Causer Republican Yea
Martina A. White Republican Yea
Michael Stender Republican Yea
Mike Armanini Republican Yea
Mike Jones Republican Yea
Milou Mackenzie Republican Yea
Mindy Fee Republican Yea
Natalie Mihalek Republican Yea
Parke Wentling Republican Yea
Perry A. Stambaugh Republican Yea
R. Lee James Republican Yea
Rich Irvin Republican Yea
Rob W. Kauffman Republican Yea
Robert Leadbeter Republican Yea
Roman Kozak Republican Yea
Russ Diamond Republican Yea
Ryan Warner Republican Yea
Scott Barger Republican Nay
Shelby Labs Republican Yea
Sheryl M. Delozier Republican Yea
Stephanie Borowicz Republican Yea
Steven C. Mentzer Republican Yea
Thomas H. Kutz Republican Yea
Thomas L. Mehaffie Republican Yea
Tim Twardzik Republican Yea
Timothy J. O'Neal Republican Nay
Timothy R. Bonner Republican Yea
Tina Pickett Republican Yea
Tom Jones Republican Yea
Valerie S. Gaydos Republican Yea
Wendy Fink Republican Yea
Zachary Mako Republican Yea

Official roll call →

Final Passage

Passed 50 Yea · 0 Nay
Party YeaNayPresentNot Voting
Republican 27000
Democratic 22000
Unaffiliated 1000
Total 50000
% of votes cast 100%0%0%0%
How each member voted (50)
Member Party Vote
Anthony Williams — Yea
Amanda M. Cappelletti Democratic Yea
Art Haywood Democratic Yea
Carolyn T. Comitta Democratic Yea
Christine M. Tartaglione Democratic Yea
James Andrew Malone Democratic Yea
Jay Costa Democratic Yea
John I. Kane Democratic Yea
Judith L. Schwank Democratic Yea
Katie J. Muth Democratic Yea
Lindsey M. Williams Democratic Yea
Lisa M. Boscola Democratic Yea
Maria Collett Democratic Yea
Marty Flynn Democratic Yea
Nick Miller Democratic Yea
Nick Pisciottano Democratic Yea
Nikil Saval Democratic Yea
Patty Kim Democratic Yea
Sharif Street Democratic Yea
Steven J. Santarsiero Democratic Yea
Timothy P. Kearney Democratic Yea
Vincent J. Hughes Democratic Yea
Wayne D. Fontana Democratic Yea
Camera Bartolotta Republican Yea
Chris Gebhard Republican Yea
Cris Dush Republican Yea
Daniel Laughlin Republican Yea
David G. Argall Republican Yea
Dawn W. Keefer Republican Yea
Devlin J. Robinson Republican Yea
Doug Mastriano Republican Yea
Elder A. Vogel Republican Yea
Frank A. Farry Republican Yea
Gene Yaw Republican Yea
Greg Rothman Republican Yea
Jarrett Coleman Republican Yea
Joe Picozzi Republican Yea
Joe Pittman Republican Yea
Judy Ward Republican Yea
Kim L. Ward Republican Yea
Kristin Phillips-Hill Republican Yea
Lisa Baker Republican Yea
Lynda Schlegel Culver Republican Yea
Michele Brooks Republican Yea
Patrick J. Stefano Republican Yea
Rosemary M. Brown Republican Yea
Scott E. Hutchinson Republican Yea
Scott Martin Republican Yea
Tracy Pennycuick Republican Yea
Wayne Langerholc Republican Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does SB 88 do?
Updating Breast Cancer Screening Coverage
Who sponsors SB 88?
SB 88 is sponsored by Frank A. Farry (Republican), Devlin J. Robinson (Republican), Camera Bartolotta (Republican), Daniel Laughlin (Republican), Jay Costa (Democratic), Art Haywood (Democratic), Wayne D. Fontana (Democratic), Carolyn T. Comitta (Democratic), Patrick J. Stefano (Republican), David G. Argall (Republican), Lynda Schlegel Culver (Republican), Lisa Baker (Republican), Greg Rothman (Republican), Wayne Langerholc (Republican), Doug Mastriano (Republican), Christine M. Tartaglione (Democratic), Sharif Street (Democratic), Michele Brooks (Republican), Nikil Saval (Democratic), Joe Picozzi (Republican), John I. Kane (Democratic), Marty Flynn (Democratic), Scott Martin (Republican), Judith L. Schwank (Democratic), Chris Gebhard (Republican), Patty Kim (Democratic), Nick Miller (Democratic), Elder A. Vogel (Republican), Timothy P. Kearney (Democratic), Lisa M. Boscola (Democratic), Vincent J. Hughes (Democratic), Nick Pisciottano (Democratic), Amanda M. Cappelletti (Democratic), James Andrew Malone (Democratic), Tracy Pennycuick (Republican), Kristin Phillips-Hill (Republican), Gene Yaw (Republican), Maria Collett (Democratic), Steven J. Santarsiero (Democratic), Scott E. Hutchinson (Republican), Lindsey M. Williams (Democratic), Rosemary M. Brown (Republican), Judy Ward (Republican), and Kim L. Ward (Republican).
What is the current status of SB 88?
This bill has been enacted into law. Introduced June 06, 2025. Enacted.
Where can I track SB 88?
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