HB 1828 Pennsylvania House · 2025-2026 Regular Session

An Act amending Title 40 (Insurance) of the Pennsylvania Consolidated Statutes, providing for immunization coverage; and imposing penalties.

HB 1828 requires health insurance plans in Pennsylvania to cover all recommended vaccines without requiring patients to pay out-of-pocket costs like copays or deductibles. It directly affects insurance companies by mandating this coverage and patients who rely on insurance for routine immunizations (e.g., childhood vaccines, flu shots). The bill adds penalties for insurers that fail to comply with the coverage requirement. This policy change ensures broader access to vaccines by removing financial barriers under insurance plans.

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Aug 2025

Committee Review

Nov 2025

House Passage

Oct 2025

Senate Passage

Governor

Introduced Aug 28, 2025 Last action Nov 5, 2025

Maddy AI version diff · 1 comparison

What changed between versions

Printer's No. PN2247 → Printer's No. PN2415 · 6 edits

MODERATE

This bill was updated from its initial version to a revised version after being reported from committee. The changes clarify that the new immunization coverage rules do not apply to existing grandfathered health plans and require the insurance department to consult with the Department of Health before adding or removing vaccines from the mandatory list. Additionally, the bill now explicitly protects enrollees who have religious exemptions from being forced to cover specific immunizations.

Scope change

The bill's applicability was narrowed to exclude grandfathered health care plans, ensuring existing policies are not retroactively altered by the new requirements.

ELIGIBILITY

Added a specific exemption stating that the new coverage requirements do not apply to grandfathered health care plans.

REQUIREMENT

Changed the process for adding or removing vaccines to require the insurance department to consult with the Department of Health.

Added a new provision ensuring that insurers must cover immunizations administered by out-of-network providers without cost-sharing.

Strengthened religious freedom protections by explicitly referencing the Religious Freedom Protection Act and federal law.

DEFINITION

Clarified the definition of 'immunization' to include vaccines required to be covered by policies offered or issued on January 1, 2025.

ENFORCEMENT

Updated the list of applicable laws for penalties to include the Accident and Health Filing Reform Act.

Floor votes · House Oct 29, 2025

How they voted

104–99

Passed

Total votes 203

Oct 29, 2025

D Democratic102

102 Yea

100% Yea

R Republican101

2 Yea 99 Nay

98% Nay

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Nov 5, 2025

Committee

Referred to Banking & Insurance

upper

Oct 29, 2025

Lower · Passed

Third consideration and final passage

lower

Oct 29, 2025

Lower · Passed

Re-reported as committed

lower

Oct 28, 2025

Committee

Re-committed to Appropriations

lower

Oct 7, 2025

Lower · Passed

Reported as amended

lower

Aug 28, 2025

Committee

Referred to Insurance

lower

1 primary · 39 co-sponsors