PEN LEG Speech Therapy, Stuttering


On Oct. 10, PEN LEG passed bill on speech therapy for stuttering.


  • PEN LEG passed bill HB 2268, providing insurance for speech therapy for stuttering.
  • Adds new Section 635.9 to The insurance company law of 1921 for Pennsylvania.
  • Bill Provisions
  • Health insurance policies offered and issued in commonwealth shall provide coverage for habilitative and rehabilitative speech therapy treatment for childhood stuttering.
  • Coverage shall be subject to the terms and conditions of a health insurance policy.
  • Including provisions relating to medical necessity, cost-sharing and utilization review.
  • Bill adds the definition of childhood stuttering, cost-sharing, habilitative speech therapy treatment, rehabilitative speech therapy treatment, and speech therapy definition.
  • Shall not be construed to require an insurer to provide school-based speech therapy based solely on the inclusion of the therapy in an individualized education program.
  • Applies to health insurance policies issued or renewed within 180 days of effectiveness.
  • Legislative History
  • On May 3, 2024, bill was introduced in House; on Jun. 26, 2024, bill passed in House.
  • On Jul. 12, 2024, bill was introduced in Senate; on Oct. 9, 2024, bill passed in Senate
  • On Oct. 10, 2024, bill was delivered to governor and is pending review and approval.
  • Effectiveness
  • If approved, act takes effect in 60 days.
  • Oct. 2024 PEN LEG Governor Approval
  • On Oct. 16, 2024, PEN LEG reported governor approved HB 2268 as Act 104 of 2024.
  • Act 104 will be effective sixty days after governor's approval, that is, Dec. 15, 2024.

Regulators PEN LEG
Entity Types Ins
Reference Act 104, 10/16/2024; Bill HB2268, 10/10/2024;
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 10/10/2024
Effective Date 12/15/2024
Rule Id 229396
Linked to N/A
Reg. Last Update 10/16/2024
Report Section US Insurance

Last substantive update on 10/21/2024