PEN LEG Biomarker Testing Coverage


On Jun. 27, PEN LEG passed bill re coverage for biomarker testing.


  • PEN LEG passed bill HB 1754 to amend The Insurance Company Law of 1921, act of May 17, 1921, P.L. 682 No. 284, which provides for coverage for biomarker testing.
  • Bill Provisions
  • The coverage will be required for diagnosis, testing, management and monitoring of a patient's disease or condition, and administered similar to other health care services.
  • Indicates terms for medical assistance or children's health insurance program managed care plan that provides biomarker testing, and biomarker related definitions.
  • Legislative History
  • On Jun. 3, 2024, bill introduced in House; on Jun. 10, 2024, bill was passed in House.
  • On Jun. 10, 2024, bill delivered to the Senate; on Jun. 25, 2024, bill passed in Senate.
  • On Jun. 27, 2024, bill was presented to the governor, pending action by the governor.
  • Effectiveness
  • For medical assistance, children's health insurance program managed care plans, new section will apply Jan. 1, 2026, and overall, will take effect in 180 days, if enacted.
  • Jul. 2024 PEN LEG Approved
  • On Jul. 1, 2024, PEN LEG reported the governor approved bill as Act 39 of 2024.

Regulators PEN LEG
Entity Types Ins
Reference Act 39, 7/1/2024; Bill HB1754, 6/27/2024; Citation: P.L. 682 No. 284;
Functions Claims/Accelerated Benefits; Compliance; Legal; Product Administration; Underwriting
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 6/27/2024
Effective Date 12/28/2024
Rule Id 217441
Linked to N/A
Reg. Last Update 7/1/2024
Report Section US Insurance

Last substantive update on 07/05/2024