HB 1391 Pennsylvania House · 2025-2026 Regular Session

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, providing for reimbursement for custom-fabricated devices, custom-fitted devices, orthosis, orthotics, over-the-counter prostheses, orthoses and pedorthic devices, prefabricated orthoses, prostheses, prosthetics and components of such devices.

House Bill 1391 amends The Insurance Company Law of 1921 to mandate that individual and group health insurance policies provide coverage for various custom-fabricated, custom-fitted, orthotic, prosthetic, and pedorthic devices. This applies when these devices are prescribed by an authorized medical professional, directly affecting individuals who require such medical aids and the health insurance companies providing their coverage. The bill requires coverage for the fitting, repair, or replacement of these devices, including those used for recreational, organized, or adaptive sports, and allows insurers to require preauthorization while applying standard cost-sharing. Additionally, Medicaid and contracted insurers would reimburse for these devices at Federal Medicare rates.
Bill status in committee 1 of 4 stages cleared
Introduction
May 2025
Committee Review
Floor Vote
Governor
Introduced May 5, 2025 Last action May 5, 2025