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, repealing provisions relating to coverage for mammographic examinations and breast imaging and providing for coverage for mammographic examinations, magnetic resonance imaging and other forms of breast imaging.
SB 88 amends Pennsylvania's Insurance Company Law to require health insurance plans sold in the state to cover specific breast imaging services without cost-sharing for policyholders. It mandates annual mammograms for women 40+ and physician-recommended mammograms for women under 40, plus MRI and other breast imaging for those at average or higher risk of breast cancer due to factors like family history, genetic mutations, or dense breast tissue. The law specifies coverage for screening, supplemental, and diagnostic exams but does not require coverage for mastectomies or override standard deductibles/copays beyond the minimum required services. This replaces prior requirements that allowed cost-sharing and excluded MRI coverage.
Bill status
signed
all 5 stages cleared
Introduction
Jun 2025
Committee Review
Nov 2025
Senate Passage
Jun 2025
House Passage
Nov 2025
Signed into Law
Nov 2025
Introduced Jun 6, 2025
Signed Nov 24, 2025
Maddy AI version diff · 1 comparison
What changed between versions
Printer's No. PN0915
→
Printer's No. PN0981
·
5 edits
MODERATE
This bill update adds new sponsors and amends the legislation to expand breast imaging coverage requirements. The changes clarify that coverage must be provided without cost-sharing (deductibles or copayments) for specific groups, including those with dense breast tissue or genetic syndromes like Li-Fraumeni. It also corrects a typo in the age requirement for annual mammograms and formally acknowledges the bill's amendment status from the previous session.
Scope change
The bill's scope remains focused on insurance coverage for breast imaging, but the applicability is refined to explicitly include individuals with dense breast tissue and specific genetic syndromes under the no-cost-sharing mandate.
ELIGIBILITY
Added new sponsors to the bill, including Hughes, Collett, Pisciotano, Cappelletti, and Malone.
Explicitly included individuals with dense breast tissue or specific genetic syndromes (Li-Fraumeni, Cowden, Bannayan-Riley-Ruvalcaba) in the list of people entitled to coverage without cost-sharing.
REQUIREMENT
Clarified that the prohibition on cost-sharing (deductibles and copayments) applies specifically to breast imaging services beyond the minimum required coverage.
TECHNICAL
Corrected a typo in the age threshold for annual mammograms, changing '40 years' to 'A 40 years'.
TIMELINE
Updated the bill version number from PN 0915 to PN 0981 and added a note indicating the bill was amended on third consideration.
Floor votes · Senate Jun 24, 2025 · House Nov 19, 2025
How they voted
50–0
Passed
Total votes 50
Jun 24, 2025
D
Democratic23
100% Yea
R
Republican27
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
24
Key actions
8
Committee
8
Amendments
1
Nov 24, 2025
Signed into law
Approved by the Governor
lower
Nov 19, 2025
Lower · Passed
Third consideration and final passage
lower
Nov 19, 2025
Lower · Passed
Re-reported as committed
lower
Nov 18, 2025
Committee
Re-referred to Appropriations
lower
Jun 25, 2025
Lower · Passed
Reported as committed
lower
Jun 24, 2025
Committee
Referred to Insurance
lower
Jun 24, 2025
Upper · Passed
Third consideration and final passage
upper
Jun 23, 2025
Upper · Passed
Amended on third consideration
upper
Jun 23, 2025
Upper · Passed
Re-reported as committed
upper
Jun 11, 2025
Committee
Re-referred to Appropriations
upper
Jun 10, 2025
Upper · Passed
Reported as committed
upper
Jun 6, 2025
Committee
Referred to Banking & Insurance
upper
1 primary · 43 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Frank Farry
RRepublican
Co
Amanda Cappelletti
DDemocratic
Co
Art Haywood
DDemocratic
Co
Camera Bartolotta
RRepublican
Co
Carolyn Comitta
DDemocratic
Co
Chris Gebhard
RRepublican
Co
Dan Laughlin
RRepublican
Co
Dave Argall
RRepublican
Co
Devlin Robinson
RRepublican
Co
Doug Mastriano
RRepublican
Co
Elder Vogel
RRepublican
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