PENNSYLVANIA, October 25 - PRIOR PRINTER'S NO. 453

PRINTER'S NO. 948

THE GENERAL ASSEMBLY OF PENNSYLVANIA

SENATE BILL

No.

225

Session of

2021

INTRODUCED BY PHILLIPS-HILL, MARTIN, J. WARD, MENSCH, COLLETT,

MUTH, KANE, STEFANO, AUMENT, CAPPELLETTI, BAKER, BROOKS,

BOSCOLA, HUTCHINSON, SABATINA, TOMLINSON, LAUGHLIN,

MASTRIANO, SANTARSIERO AND KEARNEY, MARCH 18, 2021

SENATOR DiSANTO, BANKING AND INSURANCE, AS AMENDED,

JUNE 23, 2021

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

the State Workmen's Insurance Fund; providing penalties; and

repealing existing laws," in quality healthcare

accountability and protection, further providing for

definitions, for responsibilities of managed care plans,

providing for preauthorization standards and for

preauthorization costs, further providing for continuity of

care, providing for step therapy protocols, further providing

for required disclosure, for operational standards and

providing for preauthorization and adverse determinations,

for appeals, for access requirements in service areas, for

uniform preauthorization form, for preauthorization

exemptions and for data collection and reporting; and making

an editorial change.

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

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