HB 433 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, further providing for coverage for mammographic examinations and breast imaging.

HB 433 requires health insurance plans to cover mammograms and breast imaging services without cost-sharing (like copays or deductibles) for policyholders. It directly affects women needing preventive breast cancer screenings and the insurance companies providing health coverage. The bill amends Pennsylvania’s 1921 Insurance Company Law to mandate this coverage for mammographic examinations and breast imaging under casualty insurance policies. This policy change ensures these essential preventive services are fully covered at no additional cost to patients.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
Governor
Introduced Jan 31, 2025 Last action May 22, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Printer's No. PN0406 Printer's No. PN1300 · 5 edits
MODERATE
This bill version expands the list of sponsors and adds a new committee member, Rivera. It significantly broadens the scope of insurance coverage by adding new types of health plans (like hospital plan corporations and professional health services plans) that must cover mammograms. It also adds new medical conditions, such as specific genetic syndromes, to the list of risk factors requiring supplemental breast screenings.
Scope change
The bill's scope was expanded to include additional types of health insurance entities and to cover more specific genetic risk factors for breast cancer.
SCOPE

Added new entities, such as hospital plan corporations and professional health services plan corporations, to the list of plans required to cover mammograms.

ELIGIBILITY

Added Li-Fraumeni syndrome, Cowden syndrome, and Bannayan-Riley-Ruvalcaba syndrome (and family history of these) as qualifying risk factors for supplemental breast screening coverage.

DEFINITION

Updated the definition of 'diagnostic breast examination' to explicitly include either standard or abbreviated breast magnetic resonance imaging.

REQUIREMENT

Added a new subsection requiring insurers to verify that screening mammography service providers are properly licensed before payment.

TIMELINE

Changed the effective date mechanism for policies not requiring federal filing from a flat 60-day delay to a 180-day delay after the effective date.

Floor votes · House May 12, 2025

How they voted

1985
Passed
Total votes 203
May 12, 2025
D Democratic102
102 Yea
100% Yea
R Republican101
96 Yea 5 Nay
95% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
10
Key actions
3
Committee
4
Amendments
1
May 22, 2025
Committee
Referred to Banking & Insurance
upper
May 12, 2025
Lower · Passed
Third consideration and final passage
lower
May 12, 2025
Lower · Passed
Re-reported as committed
lower
May 7, 2025
Committee
Re-committed to Appropriations
lower
Apr 8, 2025
Lower · Passed
Reported as amended
lower
Jan 31, 2025
Committee
Referred to Insurance
lower
1 primary · 56 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Gina Curry
Gina Curry
DDemocratic
PA
164
Co
Photo of Abigail Salisbury
Abigail Salisbury
DDemocratic
PA
34
Co
Photo of Ben Sanchez
Ben Sanchez
DDemocratic
PA
153
Co
Photo of Ben Waxman
Ben Waxman
DDemocratic
PA
182
Co
Photo of Bob Freeman
Bob Freeman
DDemocratic
PA
136
Co
Photo of Carol Hill-Evans
Carol Hill-Evans
DDemocratic
PA
95
Co
Photo of Carol Kazeem
Carol Kazeem
DDemocratic
PA
159
Co
Photo of Chris Pielli
Chris Pielli
DDemocratic
PA
156
Co
Photo of Dan Deasy
Dan Deasy
DDemocratic
PA
27
Co
Photo of Dan Miller
Dan Miller
DDemocratic
PA
42
Co
Photo of Dan Williams
Dan Williams
DDemocratic
PA
74