Pennsylvania 2025-2026 Regular Session

Pennsylvania House Bill HB1184

Introduced
4/9/25  

Caption

Imposing a moratorium on enactment of new or expanded health insurance policy mandated benefits; and requiring the Legislative Budget and Finance Committee to study the issue of health insurance mandates and report to the General Assembly.

Impact

The implementation of HB 1184 is expected to affect the dynamics of health insurance regulations in Pennsylvania significantly. Specifically, it halts any potential growth in coverage requirements that could increase health insurance premiums for consumers and insurers alike. The committee is tasked with evaluating current mandates and their cost implications, which could lead to recommendations that shape future health policy legislation. The findings of this study, required by the bill, are to be reported by the end of 2026, potentially influencing the future of health insurance coverage in the state.

Summary

House Bill 1184, known as the State-mandated Benefit Moratorium Act, seeks to impose a moratorium on the enactment of new or expanded mandated benefits in health insurance policies in Pennsylvania. This legislative action intends to pause any legislation that would require health insurers to provide additional coverage beyond federally mandated measures. The bill stipulates that the hesitation is in place until the Legislative Budget and Finance Committee conducts a thorough study on the existing mandated benefits and their implications on the state’s health insurance landscape.

Sentiment

Discussions surrounding HB 1184 are likely to be mixed, reflecting a broader debate about health care coverage and costs. Proponents may argue that a moratorium is necessary to prevent the escalation of costs associated with new mandated benefits, which can place a heavier burden on both insurers and consumers. Conversely, opponents might express concern that halting the introduction of new mandated benefits could impede access to necessary health services and undermine important health care reforms aimed at improving population health outcomes.

Contention

A notable point of contention revolves around the moratorium's restriction on new health mandates. While aimed at stabilizing costs, critics might argue that it could lead to gaps in coverage for essential health services that are not adequately addressed by existing mandates. This tension highlights the ongoing challenge of balancing the needs for comprehensive health coverage against controlling insurance premiums and costs, a critical discussion as Pennsylvania navigates its health care policies.

Companion Bills

No companion bills found.

Previously Filed As

PA HR337

Requests the Department of Insurance to study and issue a report relative to the impact of health insurance coverage mandates on the cost of health insurance

PA A08364

Requires the superintendent of financial services to conduct a review of mandated benefits in effect as of December 31, 2025 and their impact on insurance premiums and to conduct a cost analysis of legislation mandating new insurance benefits to examine the impact on insurance premiums prior to the adoption of such legislation.

PA S10080

Requires the superintendent of financial services to conduct a review of mandated benefits in effect as of December 31, 2025 and their impact on insurance premiums and to conduct a cost analysis of legislation mandating new insurance benefits to examine the impact on insurance premiums prior to the adoption of such legislation.

PA HB5402

Relating to fiscal impact statements for legislation imposing mandates on health benefit plan issuers.

PA HB535

Providing for health care insurance coverage protections; imposing duties on the Insurance Department and the Insurance Commissioner; and imposing penalties.

PA HB618

Providing for health insurance access protections; imposing duties on the Insurance Department and the Insurance Commissioner; and imposing penalties.

PA A10244

Establishes a uniform effective date for health insurance benefit mandates by requiring that every law that adds provisions to or amends provisions of sections 3216, 3221, and 4303 of the insurance law requiring a policy of health insurance to provide coverage for a new health care service, treatment, or benefit, or that otherwise mandates coverage under such policy shall take effect no earlier than the first of January next succeeding the date on which it shall have become a law and shall apply to policies and contracts issued, renewed, modified, altered or amended on or after such effective date.

PA SB923

Relating to fiscal impact statements for legislation imposing mandates on health benefit plan issuers.

PA HB1248

The cost-benefit analysis requirement for health insurance mandated coverage of services.

PA S09366

Establishes a uniform effective date for health insurance benefit mandates by requiring that every law that adds provisions to or amends provisions of sections 3216, 3221, and 4303 of the insurance law requiring a policy of health insurance to provide coverage for a new health care service, treatment, or benefit, or that otherwise mandates coverage under such policy shall take effect no earlier than the first of January next succeeding the date on which it shall have become a law and shall apply to policies and contracts issued, renewed, modified, altered or amended on or after such effective date.

Similar Bills

No similar bills found.